Nicole Flory Sansom, in Hudsonville, MI - Medicare Nurse Practitioner

Nicole Flory Sansom, is a medicare enrolled "Nurse Practitioner - Family" in Hudsonville, Michigan. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Match-e-be-nash-she-wish Band Of Pottawatomi Indians and her current practice location is 3545 Aiden Ct, Hudsonville, Michigan. You can reach out to her office (for appointments etc.) via phone at (616) 780-3850.

Nicole Flory Sansom is licensed to practice in Michigan (license number 4704292912) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1295388098.

Contact Information

	Nicole Flory Sansom,
	3545 Aiden Ct, Hudsonville, MI 49426-7736
	(616) 780-3850
	Not Available

Map and Direction

Provider's Profile

Full Name	Nicole Flory Sansom
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	3545 Aiden Ct, Hudsonville, Michigan
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Nicole Flory Sansom graduated from nursing school in 2019

NPI Data:

NPI Number: 1295388098
Provider Enumeration Date: 07/20/2019
Last Update Date: 07/20/2019

Medicare PECOS Information:

PECOS PAC ID: 2062845456
Enrollment ID: I20200130001967

Medical Identifiers

Medical identifiers for Nicole Flory Sansom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295388098	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	4704292912 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Metro Health Hospital	Wyoming, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Match-e-be-nash-she-wish Band Of Pottawatomi Indians	9133350952	4

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nicole Flory Sansom allows following entities to bill medicare on her behalf.

Entity Name	Match-e-be-nash-she-wish Band Of Pottawatomi Indians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952685588 PECOS PAC ID: 9133350952 Enrollment ID: O20140320000784

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole Flory Sansom is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Nicole Flory Sansom, 3545 Aiden Ct, Hudsonville, MI 49426-7736 Ph: () -	Nicole Flory Sansom, 3545 Aiden Ct, Hudsonville, MI 49426-7736 Ph: (616) 780-3850

Reviews and Comments

Nurse Practitioner Nurses in Hudsonville, MI

Jordan Elizabeth Knot, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3912 32nd Ave, Hudsonville, MI 49426 Phone: 616-252-8700
Meagan Elizabeth Bender, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4075 32nd Ave, Hudsonville, MI 49426 Phone: 616-486-6100
Carly N Molenkamp, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3165 24th Ave, Hudsonville, MI 49426 Phone: 616-896-8382
Anna Spoelhof, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4700 32nd Ave, Hudsonville, MI 49426 Phone: 616-662-2011
Erin Heeringa, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3152 Port Sheldon St, Suite C, Hudsonville, MI 49426 Phone: 616-669-9238 Fax: 616-669-8296
Lindsey Marie Devaney, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3912 32nd Ave, Hudsonville, MI 49426 Phone: 616-252-8700

Nicole Flory Sansom, - Medicare Nurse Practitioner in Hudsonville, MI