NICOLE M SANDERSON (NP) – Nurse Practitioner, NPI 1013465152

NICOLE M SANDERSON (NP) is a healthcare provider. based in Fort wayne, Indiana. specializing in Nurse Practitioner. They hold the professional credentials NP. They hold a License No. 28203112A (IN). The NPI Number for NICOLE M SANDERSON (NP) is 1013465152

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE M SANDERSON (NP)
NPI
1013465152
Phone
(260) 458-3755
Address
2516 E DUPONT RD
Enumeration Date
19 September 2016
Last Update Date
20 September 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2609271756
Graduation Year
2016 (10 years ago)
PAC ID
6709165855
Group Practice PAC ID
4981751617
Professional Enrollment ID
I20161114001908

Contacts

Secure Messaging
nicole.sanderson@lutheranhealthnetwork.cernerdirect.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness85
Years active:9State licenses:2Other namesUpdated within 12 months

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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

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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

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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes9568$0
99214Established patient office or other outpatient visit, 30-39 minutes4633$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit1818$0
View full utilization report →

Insurance plans in this area (ZIP 46825)

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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: 4981751617View full group profile
NameSpecialtyState
Infectious DiseaseIN
Family PracticeIN
Nurse PractitionerIN
U R O L O G YMI
Internal MedicineIN
-IN
Nurse PractitionerIN
Cardiovascular Disease (Cardiology)IN
Family PracticeIN
U R O L O G YIN

Reviews

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Frequently asked questions

Does NICOLE M SANDERSON (NP) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — NICOLE M SANDERSON (NP) uses 1013465152.
Does CMS list NICOLE M SANDERSON (NP) as active?
Yes — NICOLE M SANDERSON (NP) is active in the NPI listing used on this page.
What healthcare role does NICOLE M SANDERSON (NP) hold?
Scheduling teams often label NICOLE M SANDERSON (NP) under Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does NICOLE M SANDERSON (NP) list a practice location?
Patients near Fort Wayne, Indiana may find NICOLE M SANDERSON (NP) in results; validate coverage separately.
Why does NICOLE M SANDERSON (NP) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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