Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Nancy Jo Fantetti, FNP

Individual provider Family Nurse Practitioner · NPI 1891054458

MS. Nancy Jo Fantetti, FNP is a Nurse Practitioner in Niles, Michigan. Qualified in 2011, 15 years ago. Practices with Lakeland Community Hospital Watervliet, a 65-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana and Michigan.

Years since qualifying
15
Licensed in
IN, MI
In the registry since
2012
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

2002 S 11th St
Niles, MI 49120-4074
Phone: (269) 687-0200
Fax: (269) 684-0199
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 420 W 4th St, Mishawaka, IN 46544-1948 — (219) 462-7173

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4704206107 (MI)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 28125230A (IN)

Record details

NPI number1891054458
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedMay 16, 2012
Last updated in NPPESAugust 15, 2023
Certification dateAugust 15, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Lakeland Community Hospital Watervliet — 65 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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