DR. MOLLIE BEA NISEN MD
NPI 1013412386
Family Medicine - Addiction Medicine in Camden, NJ

Q: What is Mollie Nisen's NPI number?

The NPI number for Mollie Nisen is 1013412386. It was assigned to this individual provider in the NPPES registry on March 28, 2018.

Q: What is Mollie Nisen's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

Q: When was this NPI record last updated?

The NPPES record for Mollie Nisen was last updated on February 20, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 28, 2018PECOS EnrolledAccepts Medicare Assignment

3 COOPER PLZ RM 220, CAMDEN, NJ 08103(856) 342-3040(856) 342-3049 Get Directions Write a Review

NPPES record last updated: February 20, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 20, 2025, Oct 11, 2023, Dec 7, 2022 and 1 more (4 updates tracked since 2018).

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About Dr. Mollie Bea Nisen Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MOLLIE BEA NISEN MD (NPI 1013412386) is an individual addiction medicine provider in Camden, New Jersey, licensed in New Jersey (25MA11921500) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, is affiliated with Cooper University Hospital, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1013412386

Entity TypeIndividualFemale

Primary Taxonomy207QA0401X

Provider Legal NameDR. MOLLIE BEA NISENCredential: MD

Location Address3 COOPER PLZ RM 220Camden, NJ 08103-1438

Mailing Address1 Federal St Ste 200Camden, NJ 08103-1088 · (848) 288-6935

Phone(856) 342-3040

Fax(856) 342-3049

Sole ProprietorNo

Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 2018

Enumeration DateMarch 28, 2018

Last NPPES UpdateFebruary 20, 20254 updates tracked since enumeration

NPPES CertifiedFebruary 20, 2025

✔ NPI 1013412386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QA0401X

License✔ Licensed in NJ · 25MA11921500

Definition

A family medicine physician who specializes in the diagnosis and treatment of addictions.

Also ListedFamily MedicineTaxonomy 207Q00000X · License MD61055643 (WA)

3 COOPER PLZ RM 220, Camden, NJ 08103

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Secondary Practice Locations 5

Location 1390 N BroadwayPennsville, NJ 08070-1253 · Phone (856) 342-3040 · Fax (856) 342-3049

Location 23 Cooper Plz Rm 513Camden, NJ 08103-1438 · Phone (856) 342-3040 · Fax (856) 342-3049

Location 3200 College DrBlackwood, NJ 08012-3228 · Phone (856) 536-1630 · Fax (856) 342-3049

Location 4800 Cooper St Fl 4Camden, NJ 08102-1155 · Phone (856) 342-3040 · Fax (856) 342-3049

Location 5320 Ohio AveAbsecon, NJ 08201-2524 · Phone (833) 377-8474

Other Identifiers 1

Medicaid2104633WA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Mollie Bea Nisen Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2365858024

PECOS Enrollment IDI20230921004390

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

34 services17 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cooper University Hospital

Acute Care Hospitals · Camden, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310014

Location1 Cooper PlazaCamden, NJ 08103 · Camden County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$140.34 typical visit price

range $61.59 – $185.05

Typical copayment $35.08 (range $15.39 – $46.26)

Most-billed visit code 99204

Established Patient

$107.94 typical visit price

range $20.08 – $150.98

Typical copayment $26.98 (range $5.02 – $37.74)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RYAN BAUSCH SCHMIDT M.D.

Preventive Medicine (Addiction Medicine)