Nicole Nissen
NPI 1629569843 · Family Nurse Practitioner · Waterloo, IL
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nicole Nissen is a Family Nurse Practitioner provider in Waterloo, IL (NPI 1629569843).
Provider details
- NPI number
- 1629569843
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 209017442 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
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
8 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
853 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) |
|---|---|---|
| Subsequent Nursing Facility Care With Moderate Level of Medical Decision Making, Per Day, If Using Time, at Least 30 Minutes99309 | 289 | $89 |
| Subsequent Nursing Facility Care With Moderate Level of Medical Decision Making, Per Day, If Using Time, at Least 30 Minutes99309 | 264 | $89 |
| Subsequent Nursing Facility Care With High Level of Medical Decision Making, Per Day, If Using Time, at Least 45 Minutes99310 | 159 | $128 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 57 | $66 |
| Subsequent Nursing Facility Care With High Level of Medical Decision Making, Per Day, If Using Time, at Least 45 Minutes99310 | 30 | $128 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 36 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Potassium Chloride | 98 | 24 |
| Furosemide | 94 | 22 |
| Tramadol Hcl | 86 | 20 |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 65 | 19 |
| Sertraline Hcl | 47 | — |
| Buspirone Hcl | 44 | — |
| Gabapentin | 43 | — |
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-05-23
- Last updated
- 2025-04-17
- Certified
- 2025-04-17
Frequently asked questions
- What is Nicole Nissen's NPI number?
- Nicole Nissen's National Provider Identifier (NPI) is 1629569843, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nicole Nissen's specialty?
- Nicole Nissen is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Nicole Nissen located?
- Nicole Nissen's practice location on file with NPPES is 623 Hamacher St, Waterloo, IL 62298-1786.
- What is Nicole Nissen's phone number?
- The practice phone number listed in the NPPES registry for Nicole Nissen is (314) 925-0903.
- Does Nicole Nissen accept Medicare?
- Nicole Nissen is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Nicole Nissen's NPI active?
- Yes — Nicole Nissen's NPI (1629569843) is active in the NPPES registry as of the last update on 2025-04-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.