Nickie Ralston, MSN FNP in Goshen, IN - Medicare Nurse Practitioner

Nickie Ralston, MSN FNP is a medicare enrolled "Nurse Practitioner - Family" in Goshen, Indiana. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Goshen Health System Inc and her current practice location is 1855 S Main St, Ste A, Goshen, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 533-7476.

Nickie Ralston is licensed to practice in Indiana (license number 71005206A) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1013310184.

Contact Information

	Nickie Ralston, MSN FNP
	1855 S Main St, Ste A, Goshen, IN 46526-4852
	(574) 533-7476
	(574) 533-7145

Map and Direction

Provider's Profile

Full Name	Nickie Ralston
Gender	Female
Speciality	Nurse Practitioner
Experience	10 Years
Location	1855 S Main St, Goshen, Indiana
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Nickie Ralston graduated from nursing school in 2014

NPI Data:

NPI Number: 1013310184
Provider Enumeration Date: 10/03/2014
Last Update Date: 05/03/2023

Medicare PECOS Information:

PECOS PAC ID: 9335462787
Enrollment ID: I20141216002058

Medical Identifiers

Medical identifiers for Nickie Ralston such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013310184	NPI	-	NPPES
201269510	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	71005206A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Goshen Hospital	Goshen, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Goshen Health System Inc	4880598572	132

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. Nickie Ralston allows following entities to bill medicare on her behalf.

Entity Name	Goshen Health System Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194772293 PECOS PAC ID: 4880598572 Enrollment ID: O20031124000658

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. Nickie Ralston 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
Nickie Ralston, MSN FNP 1855 S Main St, Ste A, Goshen, IN 46526-4852 Ph: () -	Nickie Ralston, MSN FNP 1855 S Main St, Ste A, Goshen, IN 46526-4852 Ph: (574) 533-7476

Reviews and Comments

Nurse Practitioner Nurses in Goshen, IN

Ingrid K. Bowser, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 High Park Ave, Goshen, IN 46526 Phone: 574-364-2888
Mrs. Kaitlyn E Delgado, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 213 Middlebury St, Goshen, IN 46528 Phone: 574-534-3300
Mrs. Arin Miller, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1811 Charlton Ct, Goshen, IN 46526 Phone: 574-534-0050
Michelle Joy Miller Good, RN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 808 N 3rd St, Goshen, IN 46528 Phone: 573-534-0088 Fax: 573-971-8434
Katie M Schramm, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2222 Rieth Blvd Ste 100, Goshen, IN 46526 Phone: 574-875-1200 Fax: 574-875-0362
Barbara D Springer, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 330 Lakeview Dr, Goshen, IN 46528 Phone: 574-533-1234 Fax: 574-537-2652

Nickie Ralston, MSN FNP - Medicare Nurse Practitioner in Goshen, IN