Mr Nicholas Rock, PMHNP in Lebanon, IN - Medicare Nurse Practitioner

Mr Nicholas Rock, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Lebanon, Indiana. His current practice location is 1600 W Main St, Lebanon, Indiana. You can reach out to his office (for appointments etc.) via phone at (317) 574-1254.

Mr Nicholas Rock is licensed to practice in Indiana (license number 71009177A) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1619525383.

Contact Information

	Mr Nicholas Rock, PMHNP
	1600 W Main St, Lebanon, IN 46052-2388
	(317) 574-1254
	(317) 674-0060

Map and Direction

Provider's Profile

Full Name	Mr Nicholas Rock
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	1600 W Main St, Lebanon, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619525383
Provider Enumeration Date: 08/27/2019
Last Update Date: 09/11/2025

Medicare PECOS Information:

PECOS PAC ID: 6800125915
Enrollment ID: I20190913001754

Medical Identifiers

Medical identifiers for Mr Nicholas Rock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619525383	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	71009177A (Indiana)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Nicholas Rock allows following entities to bill medicare on his behalf.

Entity Name	Aspire Indiana Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124016050 PECOS PAC ID: 4486635455 Enrollment ID: O20041015000190

Entity Name	Aspire Indiana Health Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780068288 PECOS PAC ID: 8921314196 Enrollment ID: O20150902001749

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Nicholas Rock is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Nicholas Rock, PMHNP 9615 E 148th St Ste 1, Noblesville, IN 46060-4371 Ph: (317) 574-1254	Mr Nicholas Rock, PMHNP 1600 W Main St, Lebanon, IN 46052-2388 Ph: (317) 574-1254

Reviews and Comments

Nurse Practitioner Nurses in Lebanon, IN

Sara Elizabeth Brainerd, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1310 Lebanon Street, Lebanon, IN 46052 Phone: 765-482-7005 Fax: 765-483-2517
Mrs. Nora Camille Wilcox, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 207 S Lebanon St, Lebanon, IN 46052 Phone: 866-389-2727
Mrs. Staci Jeanne Sides, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 N Mount Zion Rd, Lebanon, IN 46052 Phone: 765-335-0123 Fax: 765-335-0127
Allison Rae Shrack, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 N Mount Zion Rd, Lebanon, IN 46052 Phone: 765-335-0123 Fax: 765-335-0127
Mr. Mitchell Lee Carter, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2605 N Lebanon St, Lebanon, IN 46052 Phone: 765-485-8000
Jennifer Holladay, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 207 S Lebanon St, Lebanon, IN 46052 Phone: 765-482-3630
Alexandria Joanne Roemke, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 400 N Mount Zion Rd, Lebanon, IN 46052 Phone: 765-335-0123 Fax: 765-335-0127

Mr Nicholas Rock, PMHNP - Medicare Nurse Practitioner in Lebanon, IN