NICOLE ANDERSON P.A.
NPI 1245355049
Physician Assistant in Iron River, MI

Active since March 20, 2007PECOS EnrolledAccepts Medicare Assignment
98.65/100
CMS Quality Rating
1400 W ICE LAKE RD, IRON RIVER, MI 49935(906) 265-6121(906) 265-2033 Get Directions Write a Review

NPPES record last updated: July 9, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nicole Anderson P.a. NPPES

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

NICOLE ANDERSON P.A. (NPI 1245355049) is an individual physician assistant in Iron River, Michigan, licensed in Michigan (5601003919) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS, is affiliated with Aspirus Iron River Hospital & Clinics, Inc, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1245355049
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNICOLE ANDERSONCredential: P.A.
Location Address1400 W ICE LAKE RDIron River, MI 49935-9526
Mailing Address1400 W Ice Lake RdIron River, MI 49935-9526 · (906) 265-6141 · Fax (906) 265-2033
Fax(906) 265-2033
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateMarch 20, 2007
Last NPPES UpdateJuly 9, 2014
NPI 1245355049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MI · 5601003919
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 5601003919 (MI)
1400 W ICE LAKE RD, Iron River, MI 49935

Other Identifiers 6

Other700C610000MI · Bcbs-mi
Medicare PINP33590007
Medicare UPINP71866
Medicare PINP17840007MI
Medicare PINM31750033MI
Medicaid41951600WI

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Nicole Anderson P.a. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3678670387
PECOS Enrollment IDI20070515000047
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.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
111 services39 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
67 services37 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
50 services42 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
40 services37 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
30 services29 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
16 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Aspirus Iron River Hospital & Clinics, Inc

Critical Access Hospitals · Iron River, MI
OwnershipVoluntary non-profit - Other
CMS Certification Number231318
Location1400 W Ice Lake RoadIron River, MI 49935 · Iron County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49935 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality95.19
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers31 claims31 services$19.89 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 suppliers35 claims35 services$111.03 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 19

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

Orthopaedic Surgery
1400 W ICE LAKE RD
IRON RIVER, MI 49935
Nurse Practitioner (Psychiatric/Mental Health)
1400 W ICE LAKE RD
IRON RIVER, MI 49935
Nurse Practitioner
1400 W ICE LAKE RD
IRON RIVER, MI 49935
Dietitian, Registered
1400 W ICE LAKE RD
IRON RIVER, MI 49935
Dietitian, Registered (Nutrition, Metabolic)
1400 W ICE LAKE RD
IRON RIVER, MI 49935
Registered Nurse (Emergency)
1400 W ICE LAKE RD
IRON RIVER, MI 49935
Ambulance (Land Transport)
1400 W ICE LAKE RD
IRON RIVER, MI 49935
Clinical Nurse Specialist (Family Health)
1400 W ICE LAKE RD
IRON RIVER, MI 49935

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Anderson's NPI number?

The NPI number for Nicole Anderson is 1245355049. It was assigned to this individual provider in the NPPES registry on March 20, 2007.

Where is Nicole Anderson located?

Nicole Anderson practices at 1400 W Ice Lake Rd, Iron River, MI 49935. The listed phone number is (906) 265-6121.

What is Nicole Anderson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Nicole Anderson enrolled in Medicare?

Yes. Nicole Anderson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Nicole Anderson accept?

Health plans from Aspirus Health Plan list Nicole Anderson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Nicole Anderson affiliated with any hospitals?

According to CMS data, Nicole Anderson is affiliated with Aspirus Iron River Hospital & Clinics, Inc.

When was this NPI record last updated?

The NPPES record for Nicole Anderson was last updated on July 9, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.