ERICA LEE NICKESON HAAKE (M.D.) – Obstetrics Physician, NPI 1033264585
Obstetrics Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
270 OBSTETRICS/GYNECOLOGY in NE
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Provider Addresses for ERICA LEE NICKESON HAAKE (M.D.)
Grand Island Clinic, 2444, West Faidley Avenue, Grand Island, Hall County, Nebraska, 68803, United States
P O BOX 550
GRAND ISLAND, NE 688034327
Phone: (308) 382-1100
Fax: (308) 385-0796
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 18 Open Payments records for all available years, with a total value of $5,907.
Total Amount is formed as General ($5,907) + Research ($0) + Ownership ($0) = $5,907.
Last reported payment date: 2024-12-02 • Largest payer in this snapshot: Organon LLC ($5,500).
Total Amount
$5,907
General + Research + Ownership
Payments
18
Total payment records
General Amount
$5,907
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Organon LLC | $5,500 |
| PFIZER INC. | $150 |
| Merck Sharp & Dohme LLC | $47 |
| Sumitomo Pharma America, Inc. | $43 |
| C. R. Bard, Inc. & Subsidiaries | $37 |
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: 2010-08-09
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 |
|---|---|---|---|---|
| I20100809000247 | I | Obstetrics/Gynecology | NE | 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 |
|---|---|---|---|---|
| G0444 | Annual depression screening, 5 to 15 minutes | 36 | 36 | $0 |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 28 | 28 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 25 | 18 | $0 |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 16 | 16 | $0 |
Insurance plans in this area (ZIP 68803)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | SD | |
| Family Practice | NE | |
| Diagnostic Radiology | NE | |
| Family Practice | NE | |
| Physician Assistant | NE | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NE | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NE | |
| Nurse Practitioner | NE | |
| Registered Dietitian Or Nutrition Professional | NE | |
| Physician Assistant | NE |
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