NICOLE M SANDERSON (NP) – Nurse Practitioner, NPI 1013465152
Preparing for Medicare enrollment?
Use our CMS-855 prep checklist: which form applies (855I, 855O, or 855A), readiness score, NPPES field map, and Section 12 documents. Reassignment uses CMS-855I Section 4F—not the discontinued CMS-855R form.
Open Medicare 855 Prep tool →Nurse Practitioner
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Loading map...
Provider Addresses for NICOLE M SANDERSON (NP)
2516, East Dupont Road, Fort Wayne, Allen County, Indiana, 46825, United States
FORT WAYNE, IN 468251608
Phone: (260) 458-3755
Fax: (260) 458-3756
Type: Location
510 SMALTZ WAY
AUBURN, IN 467060612
Phone: (260) 927-1756
Fax: (260) 479-4639
Type: Location
Pointe Inverness Way, Covington Dells, Fort Wayne, Allen County, Indiana, 46804, United States
FORT WAYNE, IN 468047934
Phone: (260) 927-1756
Fax: (260) 479-4639
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $284.
Total Amount is formed as General ($284) + Research ($0) + Ownership ($0) = $284.
Last reported payment date: 2024-03-13 • Largest payer in this snapshot: Lilly USA, LLC ($115).
Total Amount
$284
General + Research + Ownership
Payments
13
Total payment records
General Amount
$284
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $115 |
| ABBVIE INC. | $80 |
| PFIZER INC. | $58 |
| Novo Nordisk Inc | $16 |
| GlaxoSmithKline, LLC. | $14 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 95 | 68 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 46 | 33 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 18 | 18 | $0 |
Insurance plans in this area (ZIP 46825)
Loading plans...
Group practice members
- 1
- 2
- 3
| Name | Specialty | State |
|---|---|---|
| Infectious Disease | IN | |
| Family Practice | IN | |
| Nurse Practitioner | IN | |
| U R O L O G Y | MI | |
| Internal Medicine | IN | |
| - | IN | |
| Nurse Practitioner | IN | |
| Cardiovascular Disease (Cardiology) | IN | |
| Family Practice | IN | |
| U R O L O G Y | IN |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.