MICHAEL D NISSEN N.P.-C NPI 1417077827

NPI Information

  • NPI: 1417077827
  • Provider Name: MICHAEL D NISSEN, N.P.-C
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3399 FERRIS CIR
    VERNON, FL
    ZIP 32462
  • Phone: (706) 594-6919

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NPI Details

Michael D Nissen, N.P.-C is a family nurse practitioner in Vernon, FL with 20 years of experience. Michael D Nissen, N.P.-C NPI is 1417077827. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3399 FERRIS CIR
VERNON, FL
ZIP 32462-217
Phone: (706) 594-6919

The NPI 1417077827 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99490)
  • Advance care planning, first 30 minutes (HCPCS:99497)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Smoking and tobacco use intensive counseling, 4-10 minutes (HCPCS:99406)
  • Automated urinalysis test (HCPCS:81003)
  • Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Pneumococcal vaccine, 13-valent (HCPCS:90670)
  • Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99439)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit (HCPCS:G0438)
  • Transitional care management services for problem of moderate complexity (HCPCS:99495)
  • Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free (HCPCS:90674)
  • Pneumococcal vaccine, 23-valent (HCPCS:90732)

The enumeration date for this NPI number is 3/30/2007 and was last updated on 11/5/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily242756NORTH CAROLINANo
2363LF0000XNurse PractitionerFamily11026653FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17004922MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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