NICOLE ANNE BURROW HAAG (APRN) – Family Nurse Practitioner, NPI 1497205926
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,192 NURSE PRACTITIONER in IN
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Provider Addresses for NICOLE ANNE BURROW HAAG (APRN)
Quartermaster Court, Jeffersonville, Clark County, Indiana, 47130, United States
JEFFERSONVILLE, IN 471303669
Phone: (812) 282-4485
Fax: (812) 282-4496
Type: Mailing
5507 Silver Palm Pl
Jeffersonville, IN 471307727
Phone: (502) 938-5150
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 30 Open Payments records for all available years, with a total value of $549.
Total Amount is formed as General ($549) + Research ($0) + Ownership ($0) = $549.
Last reported payment date: 2024-11-01 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($189).
Total Amount
$549
General + Research + Ownership
Payments
30
Total payment records
General Amount
$549
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-01
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2017-03-30
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170330000401 | I | Nurse Practitioner | IN | TBD |
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.
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 | 140 | 109 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 44 | 38 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 23 | 16 | $0 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 17 | 17 | $0 |
Insurance plans in this area (ZIP 47130)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IN | |
| Internal Medicine | IN | |
| Nurse Practitioner | KY |
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