SANDRA RUTH NICKS RN, ACNP-BC
NPI 1972804656
Nurse Practitioner - Acute Care in Washington, MO
About Sandra Ruth Nicks Rn, Acnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SANDRA RUTH NICKS RN, ACNP-BC (NPI 1972804656) is an individual acute care provider in Washington, Missouri, licensed in Missouri (2010012202) and active in the NPI registry since November 2010. She is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Lebanon, and is a graduate of Other (1998).
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
Sandra Ruth Nicks Rn, Acnp-bc 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 Reassignment
Medicare enrollment records show Sandra Nicks reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Cuba, MO 65453
- Reassigned Medicare billing, Missouri enrollment
- Also billed through NPI 1245277631 (Missouri)
- 1,487 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 5
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.
Mercy Hospital Lebanon
Acute Care Hospitals · Lebanon, MOPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63090 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
WASHINGTON, MO 63090
WASHINGTON, MO 63090
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 Sandra Nicks's NPI number?
The NPI number for Sandra Nicks is 1972804656. It was assigned to this individual provider in the NPPES registry on November 11, 2010.
Where is Sandra Nicks located?
Sandra Nicks practices at 901 Patients First Dr, Washington, MO 63090. The listed phone number is (636) 390-1600.
What is Sandra Nicks's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Sandra Nicks enrolled in Medicare?
Yes. Sandra Nicks 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 organization bills Medicare for Sandra Nicks's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sandra Nicks reassigns Medicare benefits to Mercy Clinic Springfield Communities (Cuba, MO). The 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 Sandra Nicks's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sandra Nicks accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 1 other insurer list Sandra Nicks 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 Sandra Nicks affiliated with any hospitals?
According to CMS data, Sandra Nicks is affiliated with Mercy Hospital Lebanon.
When was this NPI record last updated?
The NPPES record for Sandra Nicks was last updated on November 11, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Sandra Ruth Nicks, RN, ACNP-BC · NPI 1972804656
Acute Care physician in Washington, Missouri. Individual provider, active in the CMS NPPES registry since November 11, 2010.
## Identity
- **NPI:** 1972804656 (Entity type: Individual)
- **Enumerated:** November 11, 2010
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 2010012202 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 901 PATIENTS FIRST DR, Washington, MO 63090-4700
- **Phone:** (636) 390-1600
## 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:** Mercy Clinic Springfield Communities (NPI 1063541704, Cuba, MO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1998
## Record status
- **NPPES last updated:** November 11, 2010
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Source: [NPI Profile](https://npiprofile.com/npi/1972804656) · Data from the CMS NPPES public registry.