NICOLE TEAGUE PMHNP
NPI 1467279364
Nurse Practitioner - Psychiatric/Mental Health in Fort Wayne, IN
About Nicole Teague Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICOLE TEAGUE PMHNP (NPI 1467279364) is an individual psychiatric/mental health provider in Fort Wayne, Indiana, licensed in Indiana (71015862A) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Nicole Teague Pmhnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
5Medicare enrollment records show Nicole Teague reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Indianapolis, IN 46204
- Reassigned Medicare billing, Indiana enrollment
- 210 clinicians in this Medicare group
Merrillville, IN 46410
- Reassigned Medicare billing, Indiana enrollment
- 233 clinicians in this Medicare group
Columbus, IN 47201
- Reassigned Medicare billing, Indiana enrollment
- 129 clinicians in this Medicare group
Lexington, KY 40504
- Reassigned Medicare billing, Indiana enrollment
- 135 clinicians in this Medicare group
Concord, NC 28025
- Reassigned Medicare billing, Indiana enrollment
- 139 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46815 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FORT WAYNE, IN 46815
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Nicole Teague's NPI number?
The NPI number for Nicole Teague is 1467279364. It was assigned to this individual provider in the NPPES registry on September 23, 2024.
Where is Nicole Teague located?
Nicole Teague practices at 3512 Stellhorn Rd, Fort Wayne, IN 46815. The listed phone number is (260) 483-9081.
What is Nicole Teague's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Nicole Teague enrolled in Medicare?
Yes. Nicole Teague is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Nicole Teague's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Teague reassigns Medicare benefits to 5 organizations: Eventus Ecs, Inc (Indianapolis, IN), Extended Care Specialists, Inc (Merrillville, IN), Eventus Wholehealth Midwest Inc (Columbus, IN), Eventus Ecs - Kentucky, PLLC (Lexington, KY) and Eventus Wh Midwest Care, LLC (Concord, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicole Teague's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Nicole Teague was last updated on October 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Nicole Teague, PMHNP · NPI 1467279364
Psychiatric/Mental Health physician in Fort Wayne, Indiana. Individual provider, active in the CMS NPPES registry since September 23, 2024.
## Identity
- **NPI:** 1467279364 (Entity type: Individual)
- **Enumerated:** September 23, 2024
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 71015862A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 3512 STELLHORN RD, Fort Wayne, IN 46815-4631
- **Phone:** (260) 483-9081
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Eventus Ecs, Inc (NPI 1073353496, Indianapolis, IN); Extended Care Specialists, Inc (NPI 1134146079, Merrillville, IN); Eventus Wholehealth Midwest Inc (NPI 1386252757, Columbus, IN); Eventus Ecs - Kentucky, PLLC (NPI 1396563276, Lexington, KY); Eventus Wh Midwest Care, LLC (NPI 1588481717, Concord, NC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** October 29, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1467279364) · Data from the CMS NPPES public registry.