NICOLE EVONNE KIESER PMHNP-BC
NPI 1619898228
Nurse Practitioner - Psychiatric/Mental Health in Bloomington, IN
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 and is a graduate of Other (2016).
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 (PECOS)
Nicole Evonne Kieser Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Nicole Kieser reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Dayton, OH 45459
- Reassigned Medicare billing, Indiana enrollment
- 18 clinicians in this Medicare group
Hinsdale, IL 60521
- Reassigned Medicare billing, Indiana enrollment
- 19 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 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.
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.
BLOOMINGTON, IN 47403
BLOOMINGTON, IN 47403
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 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.
Where is Nicole Kieser located?
Nicole Kieser practices at 1004 W 1st St, Bloomington, IN 47403. The listed phone number is (812) 393-5476.
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.
Is Nicole Kieser enrolled in Medicare?
Yes. Nicole Kieser is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Nicole Kieser's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Kieser reassigns Medicare benefits to 2 organizations: Cs Pacs 3 Midwest LLC (Dayton, OH) and Illinois Post-Acute Medical Services 1 PC (Hinsdale, IL). 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 Kieser'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 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 54 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 Evonne Kieser, PMHNP-BC · NPI 1619898228
Psychiatric/Mental Health physician in Bloomington, Indiana. Individual provider, active in the CMS NPPES registry since July 22, 2026.
## Identity
- **NPI:** 1619898228 (Entity type: Individual)
- **Enumerated:** July 22, 2026
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 71018443A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 1004 W 1ST ST, Bloomington, IN 47403-2208
- **Phone:** (812) 393-5476
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Cs Pacs 3 Midwest LLC (NPI 1972368785, Dayton, OH); Illinois Post-Acute Medical Services 1 PC (NPI 1952830853, Hinsdale, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** August 27, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1619898228) · Data from the CMS NPPES public registry.