ETTA H ECKERSTROM NP
NPI 1922745009
Nurse Practitioner - Psychiatric/Mental Health in Indianapolis, IN
About Etta H Eckerstrom Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ETTA H ECKERSTROM NP (NPI 1922745009) is an individual psychiatric/mental health provider in Indianapolis, Indiana, licensed in Indiana (71012784A) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Etta H Eckerstrom Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Etta Eckerstrom reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Indianapolis, IN 46202
- Reassigned Medicare billing, Indiana enrollment
- 5,212 clinicians in this Medicare group
Indianapolis, IN 46202
- Reassigned Medicare billing, Indiana enrollment
- 1,781 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 46202 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.
INDIANAPOLIS, IN 46202
INDIANAPOLIS, IN 46202
INDIANAPOLIS, IN 46202
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 Etta Eckerstrom's NPI number?
The NPI number for Etta Eckerstrom is 1922745009. It was assigned to this individual provider in the NPPES registry on May 19, 2022.
Where is Etta Eckerstrom located?
Etta Eckerstrom practices at 1701 N Senate Blvd, Indianapolis, IN 46202. The listed phone number is (317) 217-2166.
What is Etta Eckerstrom's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Etta Eckerstrom enrolled in Medicare?
Yes. Etta Eckerstrom is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Etta Eckerstrom's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Etta Eckerstrom reassigns Medicare benefits to 2 organizations: Iu Health Medical Group, LLC (Indianapolis, IN) and Indiana University Health Care Associates, Inc. (Indianapolis, 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 Etta Eckerstrom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Etta Eckerstrom accept?
Health plans from Anthem Blue Cross and Blue Shield, CareSource, Cigna Healthcare and UnitedHealthcare list Etta Eckerstrom 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 Etta Eckerstrom was last updated on August 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Etta H Eckerstrom, NP · NPI 1922745009
Psychiatric/Mental Health physician in Indianapolis, Indiana. Individual provider, active in the CMS NPPES registry since May 19, 2022.
## Identity
- **NPI:** 1922745009 (Entity type: Individual)
- **Enumerated:** May 19, 2022
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 71012784A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 1701 N SENATE BLVD, Indianapolis, IN 46202-1239
- **Phone:** (317) 217-2166
## 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): Iu Health Medical Group, LLC (NPI 1326893777, Indianapolis, IN); Indiana University Health Care Associates, Inc. (NPI 1679949002, Indianapolis, IN) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 8, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1922745009) · Data from the CMS NPPES public registry.