JESSICA F NIESE (NP) – Family Nurse Practitioner, NPI 1063862688

JESSICA F NIESE (NP) is a healthcare provider. based in Sandusky, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. COA.19168-NP (OH). The NPI Number for JESSICA F NIESE (NP) is 1063862688

Main info

Female
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA F NIESE (NP)
NPI
1063862688
Phone
(419) 625-5269
Address
1200 SYCAMORE LINE
Enumeration Date
14 June 2016
Last Update Date
14 June 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5679388008
Graduation Year
2016 (10 years ago)
PAC ID
9537448469
Group Practice PAC ID
5092980730
Professional Enrollment ID
I20161117001458
Address ID
OH448839005TI2562XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

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Provider Addresses for JESSICA F NIESE (NP)

  • 1200, Sycamore Line, Camptown, Sandusky, Erie County, Ohio, 44870, United States

    SANDUSKY, OH 448704029

    Phone: (419) 625-5269

    Mailing address matches the actual address.

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: 2016-11-17

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
I20161117001458INurse PractitionerOHTBD

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 minutes162136$0
87804Detection test by immunoassay with direct visual observation for influenza virus5627$0
99203New patient office or other outpatient visit, 30-44 minutes3737$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus3634$0
81002Urinalysis, manual test2822$0
View full utilization report →

Insurance plans in this area (ZIP 44870)

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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: 5092980730View full group profile
NameSpecialtyState
Internal MedicineMI
-OH
-OH
-OH
Nurse PractitionerOH
Nurse PractitionerOH
-OH
Pediatric MedicineOH
Nurse PractitionerOH
Nurse PractitionerOH

Reviews

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Frequently asked questions

Does JESSICA F NIESE (NP) have a public NPI I can cite?
Public records show JESSICA F NIESE (NP) under NPI 1063862688.
Should I treat JESSICA F NIESE (NP) as an active provider?
Patients and plans typically see JESSICA F NIESE (NP) as active in the national extract.
How should patients interpret JESSICA F NIESE (NP)'s specialty?
The extract shows Family Nurse Practitioner for JESSICA F NIESE (NP). Clinical services aligned with this taxonomy classification.
Can patients visit JESSICA F NIESE (NP) in Sandusky, Ohio?
For routing, start with Sandusky, Ohio for JESSICA F NIESE (NP), then verify phone and hours locally.
Who maintains JESSICA F NIESE (NP)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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