Kenneth Nissen, ANP
NPI 1043659980 · Adult Health Nurse Practitioner · Port Jefferson, NY
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kenneth Nissen, ANP is a Adult Health Nurse Practitioner provider in Port Jefferson, NY (NPI 1043659980).
Provider details
- NPI number
- 1043659980
- Entity type
- Individual
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- ANP
- Sex
- Male
- Sole proprietor
- Yes
- License
- 306258 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
12 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
753 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Aspiration And/Or Injection of Fluid From Large Joint20610 | 380 | $72 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 150 | $89 |
| Replacement of Knee Joint, Both Sides of Knee27447 | 75 | $210 |
| X-Ray of Knee, 3 Views73562 | 39 | $42 |
| Replacement of Thigh Bone and Hip Joint With Prosthesis27130 | 28 | $210 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 11 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Oxycodone Hcl | 144 | 104 |
| Amoxicillin | 116 | 83 |
| Meloxicam | 109 | 103 |
| Famotidine | 53 | 53 |
| Tramadol Hcl | 46 | 33 |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 40 | 34 |
| Celecoxib | 40 | 38 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-06-24
- Last updated
- 2013-06-24
Frequently asked questions
- What is Kenneth Nissen's NPI number?
- Kenneth Nissen's National Provider Identifier (NPI) is 1043659980, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenneth Nissen's specialty?
- Kenneth Nissen is listed in the NPPES registry with a primary specialty of Adult Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kenneth Nissen located?
- Kenneth Nissen's practice location on file with NPPES is 75 N Country Rd, Port Jefferson, NY 11777-2119.
- What is Kenneth Nissen's phone number?
- The practice phone number listed in the NPPES registry for Kenneth Nissen is (631) 476-2786.
- Does Kenneth Nissen accept Medicare?
- Kenneth Nissen is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kenneth Nissen's NPI active?
- Yes — Kenneth Nissen's NPI (1043659980) is active in the NPPES registry as of the last update on 2013-06-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.