Nicole M. Andersen, DDS
NPI 1063508216ActiveIndividual· Dentist, General Practice· Madison, WI
Dentist, General Practice (DDS) in Madison, Wisconsin, licensed in WI, with an NPI issued in October 2006. Part D covered 22 prescriptions written in 2024, 50% of them generic.
Overview
| NPI | 1063508216 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS |
| Sole proprietor | Yes |
| NPI issued | Oct 5, 2006 |
| Last updated in NPPES | Jan 23, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 5045-015 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Order and Referring Only - Oral Surgery (WI) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 22 · 32 30-day fills |
|---|---|
| Total drug cost | $819.77 |
| Generic share | 50% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Dentist, General Practice providers in Madison
- 1689449597
- 1023766920
- 1902554801
- 1477663045
- 1497557813
- 1144453119
- 1245547686
- 1245726835
- 1649824830
- 1164353660
- 1578985529
- 1952640732