| Mrs Kristi Jo Nissley, FNP-C | |
|
2759 State Road 37, Mitchell, IN 47446 | |
| (812) 849-6420 | |
| Not Available |
| Full Name | Mrs Kristi Jo Nissley |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 17 Years |
| Location | 2759 State Road 37, Mitchell, Indiana |
| 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 |
|---|---|---|---|
| 1811225717 | NPI | - | NPPES |
| 200989620 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 71003156A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Indiana University Health Bedford Hospital | Bedford, IN | Hospital |
| Indiana University Health Paoli Hospital | Paoli, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern Indiana Community Health Care Inc | 5799694360 | 20 |
| Entity Name | Southern Indiana Community Health Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427171057 PECOS PAC ID: 5799694360 Enrollment ID: O20040525000541 |
| Entity Name | Fc Indiana Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225579063 PECOS PAC ID: 8820360001 Enrollment ID: O20170823001260 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kristi Jo Nissley, FNP-C 2759 State Road 37, Mitchell, IN 47446-6016 Ph: (812) 992-5440 | Mrs Kristi Jo Nissley, FNP-C 2759 State Road 37, Mitchell, IN 47446 Ph: (812) 849-6420 |
Mrs. Melissa Ann Ray, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2759 State Road 37, Mitchell, IN 47446 Phone: 812-992-5440 Fax: 812-992-5441 | |
Brian Dean Brazzell, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 105 Teke Burton Dr, Mitchell, IN 47446 Phone: 812-849-3408 Fax: 812-849-5630 | |
Mrs. Natalie Dawn Coleman, AGACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 537 Marion St, Mitchell, IN 47446 Phone: 812-797-5891 |