Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nicole Ross, PMHNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1467279364

Nicole Ross, PMHNP is a Nurse Practitioner in South Bend, Indiana. Qualified in 2024, 2 years ago. Practices with Eventus Ecs, Inc, a 246-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
2
Licensed in
IN
In the registry since
2024
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

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Practice location Address checks out

3606 E Jefferson Blvd
South Bend, IN 46615-3052
Phone: (463) 724-3416
Fax: (574) 323-3718
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3512 Stellhorn Rd, Fort Wayne, IN 46815-4631 — (260) 483-9081

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 28223419A (IN)

Record details

NPI number1467279364
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP
Sole proprietorNo
NPI enumeratedSeptember 23, 2024
Last updated in NPPESMay 27, 2025
Certification dateMay 27, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Eventus Ecs, Inc — 246 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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