MR. DANIEL MICHAEL JR. ROSS (APRN, PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1134976558
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
14,984 NURSE PRACTITIONER in OH
Provider Addresses for MR. DANIEL MICHAEL JR. ROSS (APRN, PMHNP-BC)
PO BOX 11167
FORT WAYNE, IN 468561167
Phone: (574) 546-1900
Fax: (574) 546-1999
Type: Mailing
21 E STATE ST
COLUMBUS, OH 432154281
Phone: (574) 546-1900
Fax: (574) 546-1999
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $80.
Total Amount is formed as General ($80) + Research ($0) + Ownership ($0) = $80.
Last reported payment date: 2024-11-26 • Largest payer in this snapshot: Neurocrine BioSciences Inc. ($80).
Total Amount
$80
General + Research + Ownership
Payments
3
Total payment records
General Amount
$80
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Neurocrine BioSciences Inc. | $80 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-07-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240717004560 | I | Nurse Practitioner | OH | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 46856)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | OH | |
| Clinical Psychologist | NY | |
| Clinical Psychologist | IN | |
| Nurse Practitioner | NC | |
| Clinical Social Worker | KY | |
| Nurse Practitioner | OH | |
| Clinical Social Worker | OH | |
| Clinical Social Worker | KY | |
| Clinical Social Worker | IL | |
| Clinical Psychologist | OH |
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