| Nicole Renee Nissen, | |
|
121 Saint Lukes Center Dr Ste 403, Chesterfield, MO 63017-3519 | |
| (314) 205-6149 | |
| Not Available |
| Full Name | Nicole Renee Nissen |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 121 Saint Lukes Center Dr Ste 403, Chesterfield, Missouri |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629569843 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 209017442 (Illinois) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 2018012260 (Missouri) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cep America - Illinois Snf Llp | 8022306737 | 7 |
| Entity Name | Cep America - Illinois Snf Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073069415 PECOS PAC ID: 8022306737 Enrollment ID: O20161012002933 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Renee Nissen, 210 Ne Tudor Rd, Lees Summit, MO 64086-5696 Ph: (888) 256-3814 | Nicole Renee Nissen, 121 Saint Lukes Center Dr Ste 403, Chesterfield, MO 63017-3519 Ph: (314) 205-6149 |
Mrs. Elizabeth Ann Curtis, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15740 S Outer 40 Rd, Chesterfield, MO 63017 Phone: 636-237-4200 | |
Lindsey Marie Illinger, A-GNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 232 S Woods Mill Rd Ste 400, Chesterfield, MO 63017 Phone: 314-205-6744 | |
Stephanie Lickerman, APRN, ANP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 121 Saint Lukes Center Dr, Ste 303, Chesterfield, MO 63017 Phone: 314-434-3278 Fax: 314-590-5949 | |
Mrs. Toni Edwards, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 232 S Woods Mill Rd, Chesterfield, MO 63017 Phone: 314-878-2888 | |
Ann Marie Byrd, RN, MSN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15838 Fountain Plaza Dr Ste A, Chesterfield, MO 63017 Phone: 636-484-5277 | |
Maria Theresa Weir, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 222 S Woods Mill Rd, Suite 410n, Chesterfield, MO 63017 Phone: 314-469-6224 Fax: 314-469-0744 | |
Mrs. Allison Elaine Hunt, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1751 Clarkson Rd, Chesterfield, MO 63017 Phone: 636-519-9559 |