MICHAEL D NISSEN (N.P.-C) – Family Nurse Practitioner, NPI 1417077827
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
10,248 NURSE PRACTITIONER in NC
Provider Addresses for MICHAEL D NISSEN (N.P.-C)
PO BOX 843013
BOSTON, MA 022843013
Phone: (910) 904-2350
Fax: (910) 904-1037
Type: Mailing
313 TEAL DR
RAEFORD, NC 283762567
Phone: (910) 904-2350
Fax: (910) 904-1037
Type: Location
3399 FERRIS CIR
VERNON, FL 324622217
Phone: (706) 594-6919
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 99 Open Payments records for all available years, with a total value of $1,982.
Total Amount is formed as General ($1,982) + Research ($0) + Ownership ($0) = $1,982.
Last reported payment date: 2023-11-27 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($309).
Total Amount
$1,982
General + Research + Ownership
Payments
99
Total payment records
General Amount
$1,982
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $309 |
| Novo Nordisk Inc | $262 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $213 |
| Lilly USA, LLC | $181 |
| Janssen Pharmaceuticals, Inc | $143 |
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: 2024-12-11
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110728000265 | I | Nurse Practitioner | NC | TBD |
| I20241211001869 | I | Nurse Practitioner | FL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 319 | 149 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 122 | 23 | $0 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 98 | 18 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 88 | 40 | $0 |
| 99497 | Advance care planning, first 30 minutes | 88 | 87 | $0 |
Insurance plans in this area (ZIP 02284)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | NC | 90670 | Pneumococcal vaccine for injection into muscle | 47 | 46 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | FL | |
| Nurse Practitioner | FL | |
| Clinical Social Worker | FL | |
| - | FL | |
| Physician Assistant | FL | |
| General Practice, Family Practice | FL | |
| Clinical Social Worker | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| General Practice | FL |
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