NICOLE ANDERSON (P.A.) – Physician Assistant, NPI 1245355049
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,069 PHYSICIAN ASSISTANT in MI
Provider Addresses for NICOLE ANDERSON (P.A.)
1400 W ICE LAKE RD
IRON RIVER, MI 499359526
Phone: (906) 265-6141
Fax: (906) 265-2033
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $49.
Total Amount is formed as General ($49) + Research ($0) + Ownership ($0) = $49.
Last reported payment date: 2024-06-05 • Largest payer in this snapshot: Astellas Pharma US Inc ($29).
Total Amount
$49
General + Research + Ownership
Payments
2
Total payment records
General Amount
$49
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Astellas Pharma US Inc | $29 |
| TACTILE SYSTEMS TECHNOLOGY INC | $19 |
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: 2007-05-15
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 |
|---|---|---|---|---|
| I20070515000047 | I | Physician Assistant | MI | 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 |
|---|---|---|---|---|
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 68 | 38 | $0 |
| 99239 | Hospital discharge day management, more than 30 minutes | 33 | 33 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 25 | 25 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 23 | 15 | $0 |
| 99238 | Hospital discharge day management, 30 minutes or less | 23 | 21 | $0 |
Insurance plans in this area (ZIP 49935)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | MI | |
| Emergency Medicine, Pulmonary Disease, Hospice/Palliative Care, Hospitalist, Sleep Medicine, Internal Medicine | GA | |
| Diagnostic Radiology | MI | |
| Internal Medicine | AZ | |
| General Surgery | MI | |
| Certified Registered Nurse Anesthetist (Crna) | CO | |
| Nurse Practitioner | MI | |
| Internal Medicine | WI | |
| - | MI | |
| Physician Assistant | MI |
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