NICOLE FLORY SANSOM
NPI 1295388098
Nurse Practitioner - Family in Hudsonville, MI
About Nicole Flory Sansom NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICOLE FLORY SANSOM (NPI 1295388098) is an individual family provider in Hudsonville, Michigan, licensed in Michigan (4704292912) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS, is affiliated with University Of Michigan Health - West, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Nicole Flory Sansom 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.
Medicare Billing Reassignments
2Medicare enrollment records show Nicole Sansom reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Wyoming, MI 49519
- Reassigned Medicare billing, Michigan enrollment
- 685 clinicians in this Medicare group
Shelbyville, MI 49344
- Reassigned Medicare billing, Texas enrollment
- 11 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
University Of Michigan Health - West
Acute Care Hospitals · Wyoming, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49426 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Sansom's NPI number?
The NPI number for Nicole Sansom is 1295388098. It was assigned to this individual provider in the NPPES registry on July 20, 2019.
Where is Nicole Sansom located?
Nicole Sansom practices at 3545 Aiden Ct, Hudsonville, MI 49426. The listed phone number is (616) 780-3850.
What is Nicole Sansom's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Nicole Sansom enrolled in Medicare?
Yes. Nicole Sansom 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.
Which organizations bill Medicare for Nicole Sansom's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Sansom reassigns Medicare benefits to 2 organizations: Metropolitan Hospital (Wyoming, MI) and Match-E-Be-Nash-She-Wish Band Of Pottawatomi Indians (Shelbyville, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicole Sansom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nicole Sansom accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Nicole Sansom 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 Sansom affiliated with any hospitals?
According to CMS data, Nicole Sansom is affiliated with University Of Michigan Health - West.
When was this NPI record last updated?
The NPPES record for Nicole Sansom was last updated on July 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Nicole Flory Sansom · NPI 1295388098
Family physician in Hudsonville, Michigan. Individual provider, active in the CMS NPPES registry since July 20, 2019.
## Identity
- **NPI:** 1295388098 (Entity type: Individual)
- **Enumerated:** July 20, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 4704292912 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 3545 AIDEN CT, Hudsonville, MI 49426-7736
- **Phone:** (616) 780-3850
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Metropolitan Hospital (NPI 1336182542, Wyoming, MI); Match-E-Be-Nash-She-Wish Band Of Pottawatomi Indians (NPI 1467317784, Shelbyville, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** July 20, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1295388098) · Data from the CMS NPPES public registry.