Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

NICOLE EVONNE KIESER PMHNP-BC
NPI 1619898228
Nurse Practitioner - Psychiatric/Mental Health in Bloomington, IN

Q: What is Nicole Kieser's NPI number?

The NPI number for Nicole Kieser is 1619898228. It was assigned to this individual provider in the NPPES registry on July 22, 2026.

Q: What is Nicole Kieser's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Kieser was last updated on August 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since July 22, 2026PECOS Enrolled

1004 W 1ST ST, BLOOMINGTON, IN 47403(812) 393-5476 Get Directions Write a Review

NPPES record added: August 27, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 27, 2026, Jul 22, 2026 (2 updates tracked since 2026).

On this page

About Nicole Evonne Kieser Pmhnp-bc NPPES

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

NICOLE EVONNE KIESER PMHNP-BC (NPI 1619898228) is an individual psychiatric/mental health provider in Bloomington, Indiana, licensed in Indiana (71018443A) and active in the NPI registry since July 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619898228

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameNICOLE EVONNE KIESERCredential: PMHNP-BC

Location Address1004 W 1ST STBloomington, IN 47403-2208

Mailing Address8747 N County Road 600 ESeymour, IN 47274-9796 · (812) 498-0553

Phone(812) 393-5476

Sole ProprietorNo

Enumeration DateJuly 22, 2026

Last NPPES UpdateAugust 27, 20262 updates tracked since enumeration

NPPES CertifiedAugust 27, 2026

✔ NPI 1619898228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in IN · 71018443A

1004 W 1ST ST, Bloomington, IN 47403

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Evonne Kieser Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47403 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 9

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

ELISE NICOLE HEADLEY

Social Worker (Clinical)