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MS. NANCY JO FANTETTI FNP
NPI 1891054458
Nurse Practitioner - Family in Niles, MI

Active since May 16, 2012PECOS EnrolledAccepts Medicare Assignment
2002 S 11TH ST, NILES, MI 49120(269) 687-0200(269) 684-0199 Get Directions Write a Review

NPPES record last updated: August 15, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ms. Nancy Jo Fantetti Fnp NPPES

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

MS. NANCY JO FANTETTI FNP (NPI 1891054458) is an individual family provider in Niles, Michigan, licensed in Michigan (4704206107) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS, is affiliated with Lakeland Hospital, St Joseph, and maintains a secondary practice location in Mishawaka.

NPPES Registry Identity

NPI1891054458
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. NANCY JO FANTETTICredential: FNP
Location Address2002 S 11TH STNiles, MI 49120-4074
Mailing Address2002 S 11th StNiles, MI 49120-4074 · (269) 687-0200 · Fax (269) 684-0199
Phone(269) 687-0200
Fax(269) 684-0199
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateMay 16, 2012
Last NPPES UpdateAugust 15, 2023
NPPES CertifiedAugust 15, 2023
✔ NPI 1891054458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in MI · 4704206107✔ Licensed in IN · 28125230A
2002 S 11TH ST, Niles, MI 49120
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Secondary Practice Location 1

Location 1420 W 4th StMishawaka, IN 46544-1948 · Phone (219) 462-7173

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Ms. Nancy Jo Fantetti Fnp 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 ID244485639
PECOS Enrollment IDI20130727000175
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Nancy Fantetti reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lakeland Community Hospital Watervliet
Same address
Rural Health
2002 S 11TH ST
Niles, MI 49120
  • Reassigned Medicare billing, Michigan enrollment
  • 57 clinicians in this Medicare group
NPI 1538592753 (269) 687-0200
Lakeland Medical Practices
2.3 mi
Audiologist
42 N SAINT JOSEPH AVE STE 300
Niles, MI 49120
  • Reassigned Medicare billing, Michigan enrollment
  • 724 clinicians in this Medicare group
NPI 1134898505 (269) 687-2910
Borgess Lee Memorial Hospital
15 mi
Emergency Medicine
420 W HIGH ST
Dowagiac, MI 49047
  • Reassigned Medicare billing, Michigan enrollment
  • Medicare enrollment name: Ascension Borgess Lee Hospital
  • 37 clinicians in this Medicare group
NPI 1447502059 (269) 782-8681

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

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

Lakeland Hospital, St Joseph

Acute Care Hospitals · St Joseph, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230021
Location1234 Napier AvenueSt Joseph, MI 49085 · Berrien County
Emergency services Birthing friendly

Corewell Health Watervliet Hospital

Acute Care Hospitals · Watervliet, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number230078
Location400 Medical Park DrWatervliet, MI 49098 · Berrien County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49120 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
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Other Providers at the Same Location NPPES 20

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

MR. CRAIG A. RIGLER M.A. CCC-A AUDIOLOGY
Audiologist
2002 S 11TH ST
NILES, MI 49120
Berrien County (269) 687-0200
LAUREN-SHYLENE LUNA TOSCANO NP
Nurse Practitioner
2002 S 11TH ST
NILES, MI 49120
Berrien County (269) 687-0200
MRS. ASHLEY MARIE FUGATE FNP-BC
Nurse Practitioner (Family)
2002 S 11TH ST
NILES, MI 49120
Berrien County (269) 687-0200
SANDRA QUINTERO LLMSW
Social Worker
2002 S 11TH ST
NILES, MI 49120
Berrien County (269) 687-0200
ELIZABETH ANN MCGLOTHLIN M.D.
Family Medicine
2002 S 11TH ST
NILES, MI 49120
Berrien County (269) 687-0200
JAMES E STRYCKER MD
Family Medicine
2002 S 11TH ST
NILES, MI 49120
Berrien County (269) 687-0200
JENNIFER ANN LAYMAN YOUNG NP
Nurse Practitioner (Family)
2002 S 11TH ST
NILES, MI 49120
Berrien County (269) 687-0808
DR. LOIS G LELLO MD
Pediatrics
2002 S 11TH ST
NILES, MI 49120
Berrien County (269) 687-0200

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 Nancy Fantetti's NPI number?

The NPI number for Nancy Fantetti is 1891054458. It was assigned to this individual provider in the NPPES registry on May 16, 2012.

Where is Nancy Fantetti located?

Nancy Fantetti practices at 2002 S 11th St, Niles, MI 49120. The listed phone number is (269) 687-0200.

What is Nancy Fantetti's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Nancy Fantetti enrolled in Medicare?

Yes. Nancy Fantetti 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 Nancy Fantetti's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nancy Fantetti reassigns Medicare benefits to 3 organizations: Lakeland Community Hospital Watervliet (Niles, MI), Lakeland Medical Practices (Niles, MI) and Borgess Lee Memorial Hospital (Dowagiac, 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 Nancy Fantetti's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nancy Fantetti accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Nancy Fantetti 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 Nancy Fantetti affiliated with any hospitals?

According to CMS data, Nancy Fantetti is affiliated with Lakeland Hospital, St Joseph and Corewell Health Watervliet Hospital.

When was this NPI record last updated?

The NPPES record for Nancy Fantetti was last updated on August 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.