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

Paul Elliott, PMHNP-C

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1629874474

Paul Elliott, PMHNP-C is a Nurse Practitioner in Bloomington, Indiana. Qualified in 2025, 1 year ago. Practices with Centerstone of Indiana Inc, a 113-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
1
Licensed in
IN
In the registry since
2025
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

645 S Rogers St
Bloomington, IN 47403-2353
Phone: (800) 344-8802
Fax: (812) 337-2259
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 28256244A (IN)

Record details

NPI number1629874474
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP-C
Sole proprietorYes
NPI enumeratedFebruary 21, 2025
Last updated in NPPESApril 17, 2025
Certification dateApril 17, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Centerstone Of Indiana Inc — 113 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Bloomington