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Active NPI 1013465152 Individual Practitioner Female Practitioner

Nicole M Sanderson , NP

Nurse Practitioner • Auburn, IN

Professional Overview & Biography Verified Profile Summary

Nicole Sanderson, NP is a registered healthcare professional specializing in Nurse Practitioner in Auburn, IN. Practice services are available at 510 SMALTZ WAY under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, insertion of needle into vein for collection of blood sample. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

510 Smaltz Way

Auburn, IN 467060612

Telephone 2609271756
Fax 2604794639

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Auburn, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.7 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
26 Specialists

Practicing in Auburn, IN (2620 Statewide)

Telehealth Adoption Rate
11.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
49.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
76 58 $139.00 $71.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
36 20 $206.00 $102.12

Medical Specialties & State Licenses

CMS Verified: 2021-09-20
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IN 71006648A

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License IN 28203112A

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Holly Bowman , PA

Physician Assistant

NPI 1487264818

Physician Assistant

Dr. Laura Macy , DO

Family Medicine

NPI 1598381295

Doctor of Osteopathic Medicine (D.O.)

Kaylee Casper , NP

Nurse Practitioner

NPI 1770172728

Nurse Practitioner

NPI 1861402760

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location September 20, 2021

Registered at 510 SMALTZ WAY, AUBURN, IN 467060612 (Tel: 2609271756)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 20, 2021

Nurse Practitioner (License #28203112A in IN)

📍
Updated Practice Location October 14, 2020

Registered at 2516 E DUPONT RD, FORT WAYNE, IN 468251608 (Tel: 2604583755)

📍
Updated Business Mailing Address October 14, 2020

Registered at 6920 POINTE INVERNESS WAY STE 200, FORT WAYNE, IN 468047934 (Tel: 2604793516)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 14, 2020

Nurse Practitioner (License #71006648A in IN)

NPI Profile Active September 19, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location September 19, 2016

Registered at 1316 E 7TH ST, SUITE 4, AUBURN, IN 467062538 (Tel: 2609202000)

📍
Updated Business Mailing Address September 19, 2016

Registered at 1316 E 7TH ST, SUITE 4, AUBURN, IN 467062538 (Tel: 2609202000)

👤
Provider Name / Credentials Updated September 19, 2016

Recorded as NICOLE SANDERSON, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 19, 2016

Nurse Practitioner (License #28203112A in IN)

🟢
Initial NPI Registration & Enumeration September 19, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1013465152
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 19, 2016
Last Update: September 20, 2021
Sole Proprietor: No

Mailing Address

6920 Pointe Inverness Way Ste 200

Fort Wayne, IN 468047934

Phone: 2609271756

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.