DAVID C NISSEN (AUD) – Audiologist, NPI 1891762407

DAVID C NISSEN (AUD) is a healthcare provider. based in Praire village, Kansas. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials AUD. They hold a License No. 1843 (KS). The NPI Number for DAVID C NISSEN (AUD) is 1891762407

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
DAVID C NISSEN (AUD)
NPI
1891762407
Phone
(913) 262-5855
Address
7301 MISSION ROAD
Enumeration Date
2 March 2006
Last Update Date
6 October 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9133842105
Graduation Year
2007 (19 years ago)
PAC ID
1052503711
Group Practice PAC ID
4183693187
Professional Enrollment ID
I20190619003213
Address ID
MO641515100KA8350XAVEX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

139 QUALIFIED AUDIOLOGIST in KS

Provider Addresses for DAVID C NISSEN (AUD)

  • 7301 MISSION ROAD

    SUITE 140

    PRAIRE VILLAGE, KS 66208

    Phone: (913) 262-5855

    Fax: (913) 262-5869

    Type: Location

  • 7301 MISSION RD STE 140

    PRAIRIE VILLAGE, KS 662083005

    Phone: (913) 262-5855

    Fax: (913) 262-5869

    Type: Location

  • PO BOX 19087

    LENEXA, KS 662859087

    Phone: (913) 262-5855

    Fax: (913) 262-5869

    Type: Mailing

  • Mission Road, Prairie Valley, Prairie Village, Johnson County, Kansas, 66208, United States

    PRAIRIE VILLAGE, KS 662083005

    Phone: (913) 381-2105

    Fax: (913) 384-0735

    Type: Mailing

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: 2019-06-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20101013000516IQualified AudiologistKSTBD
I20190619003213IQualified AudiologistMOTBD

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
92557Comprehensive hearing and speech recognition test4947$0
92550Test for eardrum and muscle function2626$0
View full utilization report →

Insurance plans in this area (ZIP 66208)

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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: 4183693187View full group profile
NameSpecialtyState
Qualified AudiologistKS
Qualified AudiologistKS
Qualified AudiologistKS
Qualified AudiologistKS
Qualified AudiologistKS
Qualified AudiologistFL
Qualified AudiologistKS
Qualified AudiologistKS
-KS
Qualified AudiologistKS

Reviews

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Frequently asked questions

What is the standard ID for DAVID C NISSEN (AUD) in the U.S.?
In the U.S., DAVID C NISSEN (AUD) is identified by NPI 1891762407.
Quick check: is DAVID C NISSEN (AUD) active?
Public NPPES data shows DAVID C NISSEN (AUD) with an active NPI status right now.
What type of care does DAVID C NISSEN (AUD) provide?
DAVID C NISSEN (AUD)'s profile centers on Audiologist. Clinical services aligned with this taxonomy classification.
Which community is linked to DAVID C NISSEN (AUD)?
DAVID C NISSEN (AUD) shows a connection to Praire Village, Kansas in registry-derived data.
Why is information missing for DAVID C NISSEN (AUD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.