Caleb Nissen, MD
NPI 1205522703 · Student in an Organized Health Care Education/Training Program · Indianapolis, IN
Enrolled with Medicare as Order and Referring Only - Psychiatry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Caleb Nissen, MD is a Student in an Organized Health Care Education/Training Program provider in Indianapolis, IN (NPI 1205522703).
Provider details
- NPI number
- 1205522703
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
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.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-04-17
- Last updated
- 2023-04-17
- Certified
- 2023-04-17
Frequently asked questions
- What is Caleb Nissen's NPI number?
- Caleb Nissen's National Provider Identifier (NPI) is 1205522703, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Caleb Nissen's specialty?
- Caleb Nissen is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Caleb Nissen located?
- Caleb Nissen's practice location on file with NPPES is 355 W 16th St Ste 2364, Indianapolis, IN 46202-2279.
- What is Caleb Nissen's phone number?
- The practice phone number listed in the NPPES registry for Caleb Nissen is (317) 963-7307.
- Does Caleb Nissen accept Medicare?
- Caleb Nissen is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Caleb Nissen's NPI active?
- Yes — Caleb Nissen's NPI (1205522703) is active in the NPPES registry as of the last update on 2023-04-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.