FNU NISINA
NPI 1083391684
Dentist in Walla Walla, WA

Q: What is Fnu Nisina's NPI number?

The NPI number for Fnu Nisina is 1083391684. It was assigned to this individual provider in the NPPES registry on July 5, 2023.

Q: What is Fnu Nisina's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Fnu Nisina was last updated on July 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 05, 2023PECOS Enrolled

1120 W ROSE ST, WALLA WALLA, WA 99362(509) 525-6650 Get Directions Write a Review

NPPES record last updated: July 28, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 28, 2023, Jul 5, 2023 (2 updates tracked since 2023).

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About Fnu Nisina NPPES

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

FNU NISINA (NPI 1083391684) is an individual dentist in Walla Walla, Washington, licensed in Washington (DE61429179) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083391684

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameFNU NISINA

Location Address1120 W ROSE STWalla Walla, WA 99362-1662

Mailing Address1120 W Rose StWalla Walla, WA 99362-1662 · (509) 525-0247 · Fax (509) 552-2349

Phone(509) 525-6650

Sole ProprietorNo

Enumeration DateJuly 5, 2023

Last NPPES UpdateJuly 28, 20232 updates tracked since enumeration

NPPES CertifiedJuly 28, 2023

✔ NPI 1083391684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Licenses✔ Licensed in WA · DE61429179✔ Licensed in NV · 7825

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

1120 W ROSE ST, Walla Walla, WA 99362

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fnu Nisina is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99362 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

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$71.29 typical visit price

range $18.56 – $141.11

Typical copayment $17.82 (range $4.64 – $35.27)

Most-billed visit code 99213

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

Other Providers at the Same Location NPPES 20

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

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