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DINA M MOURICE AGNP-C
NPI 1619336096
Nurse Practitioner - Adult Health in Indianapolis, IN

Active since February 15, 2016PECOS EnrolledAccepts Medicare Assignment
5525 GEORGETOWN RD STE F, INDIANAPOLIS, IN 46254(317) 293-9039(317) 293-9049 Get Directions Write a Review

NPPES record last updated: September 3, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 3, 2025, Sep 11, 2020, Apr 8, 2020 and 4 more (7 updates tracked since 2016).

About Dina M Mourice Agnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DINA M MOURICE AGNP-C (NPI 1619336096) is an individual adult health provider in Indianapolis, Indiana, licensed in Indiana (71006366A) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1619336096
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameDINA M MOURICECredential: AGNP-C
Location Address5525 GEORGETOWN RD STE FIndianapolis, IN 46254-3717
Mailing Address5525 Georgetown Rd Ste FIndianapolis, IN 46254-3717 · (317) 293-9039 · Fax (317) 293-9049
Phone(317) 293-9039
Fax(317) 293-9049
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateFebruary 15, 2016
Last NPPES UpdateSeptember 3, 20257 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2025
✔ NPI 1619336096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in IN · 71006366A
5525 GEORGETOWN RD STE F, Indianapolis, IN 46254
Open in Google Maps ↗

Other Names 1

Former Name (1)Dina M Hermina

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dina M Mourice Agnp-c 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.

PECOS PAC ID3678865458
PECOS Enrollment IDI20160714002396
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
90 services81 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
78 services65 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
16 services14 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
15 services15 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46254 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ST. MARY ADULT MEDICINE, LLC
General Practice
5525 GEORGETOWN RD STE F
INDIANAPOLIS, IN 46254
Marion County (317) 293-9039

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 Dina Mourice's NPI number?

The NPI number for Dina Mourice is 1619336096. It was assigned to this individual provider in the NPPES registry on February 15, 2016. The provider is also known as Dina M Hermina.

Where is Dina Mourice located?

Dina Mourice practices at 5525 Georgetown Rd Ste F, Indianapolis, IN 46254. The listed phone number is (317) 293-9039.

What is Dina Mourice's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Dina Mourice enrolled in Medicare?

Yes. Dina Mourice 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.

What insurance does Dina Mourice accept?

Health plans from CareSource list Dina Mourice as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dina Mourice was last updated on September 3, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.