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

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



Provider's Profile

Full NameNickie Ralston
GenderFemale
SpecialityNurse Practitioner
Experience10 Years
Location1855 S Main St, Goshen, Indiana
Accepts Medicare AssignmentsYes. 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.
IdentifierTypeStateIssuer
1013310184NPI-NPPES
201269510MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 71005206A (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Goshen HospitalGoshen, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Goshen Health System Inc4880598572132

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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 NameGoshen Health System Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194772293
PECOS PAC ID: 4880598572
Enrollment ID: O20031124000658

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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 AddressPractice 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

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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

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