TINA NITSOS
NPI 1891162764
Nurse Practitioner - Family in Indianapolis, IN

Active since August 27, 2015PECOS EnrolledAccepts Medicare Assignment
8931 E 30TH ST, INDIANAPOLIS, IN 46219(317) 355-9320 Get Directions Write a Review

NPPES record last updated: December 13, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Tina Nitsos NPPES

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

TINA NITSOS (NPI 1891162764) is an individual family provider in Indianapolis, Indiana, licensed in Indiana (71005705A) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1891162764
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTINA NITSOS
Location Address8931 E 30TH STIndianapolis, IN 46219-1501
Mailing Address6626 E 75th St, Ste 500Indianapolis, IN 46250-2805
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateAugust 27, 2015
Last NPPES UpdateDecember 13, 2022
NPPES CertifiedDecember 13, 2022
✔ NPI 1891162764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IN · 71005705A
8931 E 30TH ST, Indianapolis, IN 46219

Accepted Insurance

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

Tina Nitsos 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 ID648573501
PECOS Enrollment IDI20160127000321
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Tina Nitsos reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Addiction Medicine
1201 N POST ROAD STE. 4
Indianapolis, IN 46219
  • Reassigned Medicare billing, Indiana enrollment
  • 14 clinicians in this Medicare group
Family Medicine
429 E VERMONT ST STE 110
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 45 clinicians in this Medicare group
Urgent Care
996 S STATE ROAD 135, SUITE P
Greenwood, IN 46143
  • Reassigned Medicare billing, Indiana enrollment
  • 146 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 46219 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 5

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

Nurse Practitioner (Family)
8931 E 30TH ST
INDIANAPOLIS, IN 46219
Nurse Practitioner (Family)
8931 E 30TH ST
INDIANAPOLIS, IN 46219
Nurse Practitioner (Psychiatric/Mental Health)
8931 E 30TH ST
INDIANAPOLIS, IN 46219
Social Worker
8931 E 30TH ST
INDIANAPOLIS, IN 46219
Social Worker (Clinical)
8931 E 30TH ST
INDIANAPOLIS, IN 46219

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 Tina Nitsos's NPI number?

The NPI number for Tina Nitsos is 1891162764. It was assigned to this individual provider in the NPPES registry on August 27, 2015.

Where is Tina Nitsos located?

Tina Nitsos practices at 8931 E 30th St, Indianapolis, IN 46219. The listed phone number is (317) 355-9320.

What is Tina Nitsos's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Tina Nitsos enrolled in Medicare?

Yes. Tina Nitsos 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 Tina Nitsos's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tina Nitsos reassigns Medicare benefits to 3 organizations: Acorn Addiction Centers LLC Dba Journey Road Treatment Centers (Indianapolis, IN), My Mobile MD LLC (Indianapolis, IN) and Indiana University Health Urgent Care Centers, LLC. (Greenwood, IN). 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 Tina Nitsos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tina Nitsos accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and UnitedHealthcare list Tina Nitsos 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 Tina Nitsos was last updated on December 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.