REBECCA ANN NISSLEY (MD) – Family Medicine Physician, NPI 1972942027

REBECCA ANN NISSLEY (MD) is a healthcare provider. based in Yuma, Colorado. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. DR.0055238 (CO). The NPI Number for REBECCA ANN NISSLEY (MD) is 1972942027

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
REBECCA ANN NISSLEY (MD)
NPI
1972942027
Phone
(970) 848-5405
Address
1000 W 8TH AVE
Enumeration Date
21 June 2013
Last Update Date
9 November 2023

Doctor Profile

Medical School Name
UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE
Secondary Phone
5096638711
Graduation Year
2013 (13 years ago)
PAC ID
5395969281
Group Practice PAC ID
4880504596
Professional Enrollment ID
I20220818002858
Address ID
WA988013370WE933XXRDXX400
Telehealth
Yes

Contacts

FHIR Endpoint
https://epicproxy.et0764.epichosted.com/FHIRProxy/api/FHIR/R4/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness85
Years active:12State licenses:2Other namesUpdated within 12 months

2,661 FAMILY PRACTICE in CO

Provider Addresses for REBECCA ANN NISSLEY (MD)

  • 1000 W 8TH AVE

    YUMA, CO 807592641

    Phone: (970) 848-5405

    Type: Mailing

  • 820 N CHELAN AVE

    WENATCHEE, WA 988012028

    Phone: (509) 663-8711

    Type: Mailing

  • 933 RED APPLE RD

    WENATCHEE, WA 988013370

    Phone: (509) 663-8711

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-08-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220818002858IFamily PracticeWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes16492$0
99213Established patient office or other outpatient visit, 20-29 minutes6649$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit2121$0
99204New patient office or other outpatient visit, 45-59 minutes1515$0
99215Established patient office or other outpatient visit, 40-54 minutes1211$0
View full utilization report →

Insurance plans in this area (ZIP 80759)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4880504596View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology), Internal MedicineWA
Internal MedicineOR
-WA
Internal MedicineWA
O B S T E T R I C S/ G Y N E C O L O G YMT
-WA
Emergency MedicineWA
O B S T E T R I C S/ G Y N E C O L O G YWA
Diagnostic RadiologyOH
Physician AssistantWA

Reviews

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Frequently asked questions

Where can patients find REBECCA ANN NISSLEY (MD)'s NPI?
You can confirm REBECCA ANN NISSLEY (MD) with NPI 1972942027; it appears in the national provider directory.
Is REBECCA ANN NISSLEY (MD) active in the national directory?
REBECCA ANN NISSLEY (MD)'s public NPI profile is in an active state.
What does REBECCA ANN NISSLEY (MD) treat or focus on?
Patients typically see REBECCA ANN NISSLEY (MD) under the specialty Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where does public data place REBECCA ANN NISSLEY (MD)?
The snapshot lists Yuma, Colorado for REBECCA ANN NISSLEY (MD); download NPPES for the complete set.
Is REBECCA ANN NISSLEY (MD) a real provider?
This page reflects official NPPES data for NPI 1972942027. Always confirm identity and privileges with the practice and licensing boards.

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