Nicole Renee Nissen
Nurse Practitioner | 8+ years Exp
623 Hamacher St, Waterloo
Illinois, 62298-1786
314-925-0903
Nicole Renee Nissen is a Waterloo, Illinois based nurse practitioner with 8 years of experience in . She completed her graduation in 2017. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Nicole Renee Nissen is 2018012260 for Family in Missouri. Her current practice location is 623 Hamacher St, Waterloo. Patients can reach her at 314-925-0903 and her NPI number (Unique professional ID assigned by NPPES) is 1629569843.
Nicole Renee Nissen has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Nicole Renee 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: | Nicole Renee Nissen |
| Specialization: | Nurse Practitioner (NP) |
| Gender: | Female |
| Experience: | 8+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2017 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 623 Hamacher St, Waterloo,
Illinois, 62298-1786 |
| Phone: | 314-925-0903 |
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: | 0547519423 |
| Enrollment ID: | I20180910002278 |
| NPI Number: | 1629569843 |
| NPI Enumeration Date: | 23 May, 2018 |
| NPI Last Update On: | 17 Apr, 2025 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Nicole Renee Nissen are as mentioned below.
| License Number | Specialization | State | Status | |
| 2018012260 | Family | Missouri | Primary | |
| 209017442 | Nurse Practitioner | Illinois | Secondary | |
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 Nicole Renee Nissen is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Cep America - Illinois Snf Llp (8022306737) | 9 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Nicole Renee Nissen
10426 Baur Blvd,
Saint Louis, Missouri |
| Zip: | 63132-1905 |
| Phone Number: | 314-925-0903 |
Patients can reach Nicole Renee Nissen at
623 Hamacher St, Waterloo, Illinois or can
call to book an appointment on 314-925-0903.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.