Roselyn S Tabiti, PMHNP-BC in Merrillville, IN

Roselyn S Tabiti, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Merrillville, Indiana. Her current practice location is 8601 Connecticut St, Merrillville, Indiana. You can reach out to her office (for appointments etc.) via phone at (219) 525-3495.

Roselyn S Tabiti is licensed to practice in Indiana (license number 71014765A) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1669246401.

Contact Information

	Roselyn S Tabiti, PMHNP-BC
	8601 Connecticut St, Merrillville, IN 46410-6647
	(219) 525-3495
	(219) 472-0934

Map and Direction

Provider's Profile

Full Name	Roselyn S Tabiti
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	8601 Connecticut St, Merrillville, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1669246401
Provider Enumeration Date: 11/13/2023
Last Update Date: 09/24/2025

Medicare PECOS Information:

PECOS PAC ID: 0345689246
Enrollment ID: I20250124002385

Medical Identifiers

Medical identifiers for Roselyn S Tabiti such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669246401	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	71014765A (Indiana)	Primary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	209027422 (Illinois)	Secondary

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. Roselyn S Tabiti allows following entities to bill medicare on her behalf.

Entity Name	Cleanslate Medical Group Of Indiana Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023464294 PECOS PAC ID: 4880963909 Enrollment ID: O20171023001515

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. Roselyn S Tabiti 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
Roselyn S Tabiti, PMHNP-BC 2783 W 83rd Ln, Merrillville, IN 46410-6067 Ph: (708) 407-4756	Roselyn S Tabiti, PMHNP-BC 8601 Connecticut St, Merrillville, IN 46410-6647 Ph: (219) 525-3495

Reviews and Comments

Nurse Practitioner Nurses in Merrillville, IN

Sherri Lynn Hernandez, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8560 Broadway, Merrillville, IN 46410 Phone: 219-793-9248 Fax: 219-793-9387
Kimberly Dianell Armstrong, RN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5800 Broadway, Merrillville, IN 46410 Phone: 219-884-9180 Fax: 219-884-9280
Mrs. Darrian Renee Sullivan, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5825 Broadway, Merrillville, IN 46410 Phone: 219-689-3199
Angela M Vanderberg, FNP-BC, PMHNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7805 Taft St Ste E, Merrillville, IN 46410 Phone: 219-742-7328 Fax: 219-343-5454
Danielle Jackson, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8645 Connecticut St, Merrillville, IN 46410 Phone: 219-769-3500
Cindy Chapman, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 90 W 86th Ave, Merrillville, IN 46410 Phone: 219-791-1555 Fax: 219-791-1560
Christopher Micheal Hatch, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8701 Broadway, Merrillville, IN 46410 Phone: 219-769-6639 Fax: 219-769-0636

Roselyn S Tabiti, PMHNP-BC - Medicare Nurse Practitioner in Merrillville, IN