MS. SANDRIA R NIXON DR. FNP - NPI 1104817733 - Nurse Practitioner in South Bend, IN

Q: What is Sandria Nixon's NPI number?

The NPI number for Sandria Nixon is 1104817733. It was assigned to this individual provider in the NPPES registry on November 2, 2005.

Q: What is Sandria Nixon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Sandria Nixon was last updated on February 8, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Ms. Sandria R Nixon Dr. Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. SANDRIA R NIXON DR. FNP (NPI 1104817733) is an individual nurse practitioner in South Bend, Indiana, licensed in Indiana (71001771A) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1104817733

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMS. SANDRIA R NIXONCredential: DR. FNP

Location Address211 N EDDY ST.South Bend, IN 46617-3096

Mailing Address500 Kirts Blvd Ste 100Troy, MI 48084-4135 · (484) 346-1692 · Fax (855) 618-6655

Phone(574) 237-9331

Fax(574) 237-9252

Sole ProprietorNo

Enumeration DateNovember 2, 2005

Last NPPES UpdateFebruary 8, 20213 updates tracked since enumeration

NPPES CertifiedFebruary 8, 2021

✔ NPI 1104817733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Licenses✔ Licensed in IN · 71001771A✔ Licensed in MI · 4704141786

Definition

(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.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 71001771A (IN)

211 N EDDY ST., South Bend, IN 46617

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Secondary Practice Locations 2

Location 12725 Airview Blvd Ste 105Portage, MI 49002-1804 · Phone (269) 349-8386 · Fax (269) 349-8397

Location 25838 W Brick Rd Ste 106South Bend, IN 46628-8420 · Phone (574) 247-1911 · Fax (574) 247-1912

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Sandria R Nixon Dr. Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46617 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

2 suppliers15 claims15 services$43.50 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress E0261

DME-Hospital Beds · category DB000N

1 supplier11 claims11 services$43.14 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$15.11 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

2 suppliers23 claims23 services$3.76 avg. paid by Medicare

Respiratory suction pump, home model, portable or stationary, electric E0600

DME-Other DME · category DE000N

1 supplier12 claims12 services$30.05 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers29 claims29 services$87.08 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. CHERYL A. SHARP AU.D.,CCC-A

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