Individual provider Active NPI

Rosalind Scott Jessie, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Clarksville, IN
National Provider Identifier
1417412404
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
71008613A Issued in IN
Practice address
1205 Applegate LN
Clarksville, IN 47129-9608
Phone
(812) 283-8383
Fax
(812) 283-8429
NPI assigned
Feb 5, 2019
Last updated
Dec 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 71008613A IN Primary

Addresses

Primary practice location

1205 Applegate LN
Clarksville, IN 47129-9608

Mailing address

1205 Applegate LN
Clarksville, IN 47129-9608
Phone (812) 283-8383

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200109002490 IN Practitioner - Nurse Practitioner 5597190082 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Personal Counseling Services IncGroup PAC ID 2264931880, 7 clinicians

Practice addresses (Care Compare)

1205 Applegate LN
Clarksville, IN 47129-9608
Phone (812) 206-4278

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
71008613AINMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Personal Counseling Services, Inc. CurrentSince Oct 15, 2025 Accepting new patients

Locations

1205 Applegate Ln
Clarksville, IN 47129
Phone (812) 206-4278

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1549324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1417412404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 APPLEGATE LN",
            "city": "CLARKSVILLE",
            "state": "IN",
            "postal_code": "471299608",
            "telephone_number": "812-283-8383",
            "fax_number": "812-283-8429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 APPLEGATE LN",
            "city": "CLARKSVILLE",
            "state": "IN",
            "postal_code": "471299608",
            "telephone_number": "812-283-8383",
            "fax_number": "812-283-8429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JESSIE",
        "first_name": "ROSALIND",
        "middle_name": "SCOTT",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-05",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "71008613A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, IN

Sources for this page

Verify at the official NPI Registry.