Laura Nissen, - Medicare Physical Therapist in Kimberly, WI

Laura Nissen, is a medicare enrolled "Physical Therapist" provider in Kimberly, Wisconsin. Her current practice location is 825 Cobblestone Ln, Kimberly, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 282-6658.

Laura Nissen is licensed to practice in Wisconsin (license number 5793-024) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1942082029.

Contact Information

Laura Nissen,
825 Cobblestone Ln,
Kimberly, WI 54136-2116
(920) 282-6658
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameLaura Nissen
GenderFemale
SpecialityPhysical Therapist
Location825 Cobblestone Ln, Kimberly, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1942082029
  • Provider Enumeration Date: 10/16/2023
  • Last Update Date: 10/16/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4486003449
  • Enrollment ID: I20231215001517

Medical Identifiers

Medical identifiers for Laura Nissen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942082029NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 5793-024 (Wisconsin)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Laura Nissen allows following entities to bill medicare on her behalf.
Provider NameAegis Group Practice Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1275073363
PECOS PAC ID: 5193036432
Enrollment ID: O20170614002978

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Laura Nissen is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Laura Nissen,
2904 E Corridor Dr,
Appleton, WI 54913-6722

Ph: (920) 915-9675
Laura Nissen,
825 Cobblestone Ln,
Kimberly, WI 54136-2116

Ph: (920) 282-6658

Reviews and Comments


Physical Therapist in Kimberly, WI

Aegis Group Practice Llc
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 825 Cobblestone Ln, Kimberly, WI 54136
Phone: 800-444-6845    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.