Kenneth William Nissen

ANP | Nurse Practitioner - Adult Health | 12+ years Exp

Accepts Medicare Adult Health Nurse Practitioner in Port Jefferson, New York.
Kenneth William Nissen is a Port Jefferson, New York based nurse practitioner with 12 years of experience in Adult Health. He completed his graduation from State University Of New York At Stony Brook, School Of Medicine in 2012. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. His current practice location is 75 N Country Rd, Port Jefferson. Patients can reach him at 631-476-2786. Kenneth William Nissen is ANP with specialization in Adult Health and his NPI number (Unique professional ID assigned by NPPES) is 1043659980.
Kenneth William Nissen can evaluate, diagnose patients overall wellness, and conditions such as cancer, heart disease, diabetes, arthritis, sports injuries, and other ailments. He can see patients and promote healthy living and wellness. He can perform physical examinations, order and interpret tests, prescribe medications and treatments, and can also provide education and counseling to patients on wellness strategies and disease prevention.

Complete Profile:
Kenneth William Nissen speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Kenneth William Nissen
Specialization: Adult Health Nurse Practitioner (ANP)
Gender:Male
Credentials: ANP
Experience: 12+ years
Medical School Attended:State University Of New York At Stony Brook, School Of Medicine
Graduation Year:2012
Accepts Medicare Assignment:Yes
Practice Address:75 N Country Rd, Port Jefferson,
New York, 11777-2119
Phone:631-476-2786
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 2264667633
Enrollment ID: I20131022000044
NPI Number: 1043659980
NPI Enumeration Date: 24 Jun, 2013
NPI Last Update On: 24 Jun, 2013

Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN) State Hospital Type
(330185)Port jefferson, NYAcute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name with which Kenneth William Nissen is associated with along with the number of members in that group.
Organization Name (Group PAC ID) Members
North Shore-lij Cardiovascular Medicine Pc (7012194806)138
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Kenneth William Nissen
25 Wiltshire Dr,
Commack, New York
Zip: 11725-3330
Phone Number: 516-521-0456
Patients can reach Kenneth William Nissen at 75 N Country Rd, Port Jefferson, New York or can call to book an appointment on 631-476-2786.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.