Nicole Ross, PMHNP
NPI 1467279364 · Psychiatric/Mental Health Nurse Practitioner · South Bend, IN
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nicole Ross, PMHNP is a Psychiatric/Mental Health Nurse Practitioner provider in South Bend, IN (NPI 1467279364).
Provider details
- NPI number
- 1467279364
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PMHNP
- Sex
- Female
- Sole proprietor
- No
- License
- 28223419A (IN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 3512 Stellhorn RdFort Wayne, IN 46815-4631Phone: (260) 483-9081
Registry dates
- Enumerated
- 2024-09-23
- Last updated
- 2025-05-27
- Certified
- 2025-05-27
Frequently asked questions
- What is Nicole Ross's NPI number?
- Nicole Ross's National Provider Identifier (NPI) is 1467279364, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nicole Ross's specialty?
- Nicole Ross is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Nicole Ross located?
- Nicole Ross's practice location on file with NPPES is 3606 E Jefferson Blvd, South Bend, IN 46615-3052.
- What is Nicole Ross's phone number?
- The practice phone number listed in the NPPES registry for Nicole Ross is (463) 724-3416.
- Does Nicole Ross accept Medicare?
- Nicole Ross is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Nicole Ross's NPI active?
- Yes — Nicole Ross's NPI (1467279364) is active in the NPPES registry as of the last update on 2025-05-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.