NICOLE SUNDERLAND ANDERSON (MD) – Radiation Oncology Physician, NPI 1437331733

NICOLE SUNDERLAND ANDERSON (MD) is a healthcare provider. based in Jacksonville, Florida. specializing in RADIATION ONCOLOGY. They hold the professional credentials MD. They hold a License No. ME 111558 (FL). The NPI Number for NICOLE SUNDERLAND ANDERSON (MD) is 1437331733

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE SUNDERLAND ANDERSON (MD)
NPI
1437331733
Phone
(904) 309-8680
Address
PO BOX 19675
Enumeration Date
29 November 2007
Last Update Date
31 July 2012

Doctor Profile

Medical School Name
WARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY
Secondary Phone
8435455600
Graduation Year
2005 (21 years ago)
PAC ID
7517082985
Group Practice PAC ID
3678473477
Professional Enrollment ID
I20210223000176
Address ID
SC295765032MU4033X17XX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

494 RADIATION ONCOLOGY in FL

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Provider Addresses for NICOLE SUNDERLAND ANDERSON (MD)

  • PO BOX 19675

    JACKSONVILLE, FL 322459675

    Phone: (904) 309-8680

    Fax: (904) 345-5841

    Type: Mailing

  • 1235, San Marco Boulevard, San Marco, Jacksonville, Duval County, Florida, 32207, United States

    SUITE 100

    JACKSONVILLE, FL 322078554

    Phone: (904) 202-7020

    Fax: (904) 202-7029

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $25.

Total Amount is formed as General ($25) + Research ($0) + Ownership ($0) = $25.

Last reported payment date: 2024-03-29 • Largest payer in this snapshot: Teleflex LLC ($25).

Total Amount

$25

General + Research + Ownership

Payments

1

Total payment records

General Amount

$25

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-29

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Teleflex LLC$25
View all Open Payments →|Open Payments Risk Radar →

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: 2021-02-23

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
I20210223000176IRadiation OncologySCTBD

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
G6012Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 mev90676$0
G6017Intra-fraction localization and tracking of target or patient motion during delivery of radiation therapy (eg,3d positional tracking, gating, 3d surface tracking), each fraction of treatment63848$0
77014Ct guidance for insertion of radiation therapy fields57663$0
G6015Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session53258$0
77336Continuing radiation therapy consultation per week330121$0
View full utilization report →

Insurance plans in this area (ZIP 32245)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3678473477View full group profile
NameSpecialtyState
Radiation OncologyFL

Reviews

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Frequently asked questions

How is NICOLE SUNDERLAND ANDERSON (MD) identified in CMS data?
CMS-hosted NPPES data lists NICOLE SUNDERLAND ANDERSON (MD) with NPI 1437331733.
Can I rely on NICOLE SUNDERLAND ANDERSON (MD) being an active provider?
As of the registry snapshot, NICOLE SUNDERLAND ANDERSON (MD) is marked active.
What is NICOLE SUNDERLAND ANDERSON (MD)'s specialty?
The listing groups NICOLE SUNDERLAND ANDERSON (MD) with Radiation Oncology Physician. Clinical services aligned with this taxonomy classification.
Where is NICOLE SUNDERLAND ANDERSON (MD) based?
NICOLE SUNDERLAND ANDERSON (MD) is tied to Jacksonville, Florida in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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