NICOLE LEA WENTWORTH HARTUNG (M.D.) – Medical Oncology Physician, NPI 1255300885
Medical Oncology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for NICOLE LEA WENTWORTH HARTUNG (M.D.)
110105 PIONEER TRL W STE 302
CHASKA, MN 553182680
Phone: (952) 361-5800
Fax: (952) 361-5858
Type: Location
1700 UNIVERSITY AVE W
SAINT PAUL, MN 551043727
Phone:
Type: Mailing
110105 Pioneer Trl W Ste 302
Chaska, MN 553182680
Phone: (952) 361-5800
Fax: (952) 361-5858
Type: Location
909 FULTON ST SE
MINNEAPOLIS, MN 554554800
Phone: (612) 273-8383
Type: Location
University Avenue West, Saint Paul, Ramsey County, Minnesota, 55114, United States
SAINT PAUL, MN 551142001
Phone: (651) 602-5309
Fax: (651) 222-6786
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2004-03-08
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 |
|---|---|---|---|---|
| I20040308000011 | I | Medical Oncology | MN | 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 |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 266 | 14 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 168 | 44 | $0 |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | 156 | 13 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 154 | 46 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 103 | 44 | $0 |
Insurance plans in this area (ZIP 55318)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Pulmonary Disease | CO | |
| - | MN | |
| - | MN | |
| Family Practice | MN | |
| - | MO | |
| - | MN | |
| - | VA | |
| - | MN | |
| - | MN | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MN |
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