JODI LYNN NIXON (PH.D., HSPP) – Counseling Psychologist, NPI 1417953670

JODI LYNN NIXON (PH.D., HSPP) is a healthcare provider. based in Muncie, Indiana. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D., HSPP. They hold a License No. 20041828A (IN). The NPI Number for JODI LYNN NIXON (PH.D., HSPP) is 1417953670

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
JODI LYNN NIXON (PH.D., HSPP)
NPI
1417953670
Phone
(765) 284-0043
Address
1904 W. ROYALE DR.
Enumeration Date
22 June 2005
Last Update Date
27 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2001 (25 years ago)
PAC ID
2567415789
Professional Enrollment ID
I20050301000116
Address ID
IN473042265MU1901XDRXX400
Telehealth
Yes

Contacts

Secure Messaging
jnixon7142@eCommunityDirect.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

450 CLINICAL PSYCHOLOGIST in IN

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Provider Addresses for JODI LYNN NIXON (PH.D., HSPP)

  • 1904, West Royale Drive, Muncie, Delaware County, Indiana, 47304, United States

    MUNCIE, IN 473042664

    Phone: (765) 284-0043

    Fax: (765) 284-4112

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2005-03-01

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050301000116IClinical PsychologistINTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
96156Assessment of health behavior3535$0
View full utilization report →

Insurance plans in this area (ZIP 47304)

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Reviews

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Frequently asked questions

What is JODI LYNN NIXON (PH.D., HSPP)'s NPI number?
JODI LYNN NIXON (PH.D., HSPP)'s NPI is 1417953670 — the number used across U.S. healthcare to identify this provider.
Would JODI LYNN NIXON (PH.D., HSPP) appear as active to a payer?
You can treat JODI LYNN NIXON (PH.D., HSPP) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe JODI LYNN NIXON (PH.D., HSPP)'s focus?
For JODI LYNN NIXON (PH.D., HSPP), the primary taxonomy reads as Counseling Psychologist. Clinical services aligned with this taxonomy classification.
Is JODI LYNN NIXON (PH.D., HSPP) located near Muncie?
JODI LYNN NIXON (PH.D., HSPP) currently maps to Muncie, Indiana in this extract.
Can I trust this NPI listing for JODI LYNN NIXON (PH.D., HSPP)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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