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

Nicole Flory Sansom

Individual provider Family Nurse Practitioner · NPI 1295388098

Nicole Flory Sansom is a Nurse Practitioner in Hudsonville, Michigan. Qualified in 2019, 7 years ago. Practices with Match-E-Be-Nash-She-Wish Band of Pottawatomi Indians, a 6-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
7
Licensed in
MI
In the registry since
2019

Practice location Address checks out

3545 Aiden Ct
Hudsonville, MI 49426-7736
Phone: (616) 780-3850
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4704292912 (MI)

Record details

NPI number1295388098
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 20, 2019
Last updated in NPPESJuly 20, 2019
Mailing address3545 Aiden Ct, Hudsonville, MI 49426-7736

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Match-E-Be-Nash-She-Wish Band Of Pottawatomi Indians — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Hudsonville