NICHOLAS ALLAN YERGENS LMHC
NPI 1942019575
Counselor - Mental Health in Fort Wayne, IN

Active since January 07, 2025PECOS EnrolledAccepts Medicare Assignment
909 E STATE BLVD, FORT WAYNE, IN 46805(260) 481-2700(260) 481-2838 Get Directions Write a Review

NPPES record last updated: January 23, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Nicholas Allan Yergens Lmhc NPPES

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

NICHOLAS ALLAN YERGENS LMHC (NPI 1942019575) is an individual mental health provider in Fort Wayne, Indiana, licensed in Indiana (39005260A) and active in the NPI registry since January 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1942019575
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameNICHOLAS ALLAN YERGENSCredential: LMHC
Location Address909 E STATE BLVDFort Wayne, IN 46805-3404
Mailing Address11109 Parkview Plaza Dr # 117Fort Wayne, IN 46845-1701
Fax(260) 481-2838
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJanuary 7, 2025
Last NPPES UpdateJanuary 23, 2025
NPPES CertifiedJanuary 23, 2025
✔ NPI 1942019575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in IN · 39005260A
909 E STATE BLVD, Fort Wayne, IN 46805

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

Nicholas Allan Yergens Lmhc 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 ID9739618612
PECOS Enrollment IDI20250122000873
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 Reassignment

Medicare enrollment records show Nicholas Yergens reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Same address
Mental Health (Including Community Mental Health Center)
909 E STATE BLVD
Fort Wayne, IN 46805
  • Reassigned Medicare billing, Indiana enrollment
  • 103 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.

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.

Counselor
909 E STATE BLVD
FORT WAYNE, IN 46805
Counselor (Mental Health)
909 E STATE BLVD
FORT WAYNE, IN 46805
Psychiatry & Neurology (Psychiatry)
909 E STATE BLVD
FORT WAYNE, IN 46805
Nurse Practitioner
909 E STATE BLVD
FORT WAYNE, IN 46805
Case Manager/Care Coordinator
909 E STATE BLVD
FORT WAYNE, IN 46805
Counselor (Mental Health)
909 E STATE BLVD
FORT WAYNE, IN 46805
Licensed Practical Nurse
909 E STATE BLVD
FORT WAYNE, IN 46805
Registered Nurse
909 E STATE BLVD
FORT WAYNE, IN 46805

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 Nicholas Yergens's NPI number?

The NPI number for Nicholas Yergens is 1942019575. It was assigned to this individual provider in the NPPES registry on January 7, 2025.

Where is Nicholas Yergens located?

Nicholas Yergens practices at 909 E State Blvd, Fort Wayne, IN 46805. The listed phone number is (260) 481-2700.

What is Nicholas Yergens's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Nicholas Yergens enrolled in Medicare?

Yes. Nicholas Yergens 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 organization bills Medicare for Nicholas Yergens's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Yergens reassigns Medicare benefits to Park Center Inc (Fort Wayne, IN). The 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 Nicholas Yergens's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicholas Yergens accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Nicholas Yergens 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 Nicholas Yergens was last updated on January 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.