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GARY MICHAEL NISSEN MD
NPI 1124550520
Anesthesiology in Springfield, OR

Active since April 03, 2017PECOS EnrolledAccepts Medicare Assignment
3333 RIVERBEND DR, SPRINGFIELD, OR 97477(541) 681-5124 Get Directions Write a Review

NPPES record last updated: March 22, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 22, 2018, Apr 19, 2017 (2 updates tracked since 2017).

About Gary Michael Nissen Md NPPES

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

GARY MICHAEL NISSEN MD (NPI 1124550520) is an individual anesthesiology provider in Springfield, Oregon, licensed in Oregon (MD203881) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Mckenzie-willamette Medical Center, and maintains a secondary practice location in Seattle.

NPPES Registry Identity

NPI1124550520
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameGARY MICHAEL NISSENCredential: MD
Location Address3333 RIVERBEND DRSpringfield, OR 97477-8800
Mailing AddressPo Box 7247Springfield, OR 97475-0011 · (541) 513-7080
Phone(541) 681-5124
Sole ProprietorNo
Medical School CMSCreighton University School Of MedicineGraduated 2017
Enumeration DateApril 3, 2017
Last NPPES UpdateMarch 22, 20222 updates tracked since enumeration
NPPES CertifiedMarch 22, 2022
✔ NPI 1124550520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in OR · MD203881
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3333 RIVERBEND DR, Springfield, OR 97477
Open in Google Maps ↗

Secondary Practice Location 1

Location 1925 Seneca StSeattle, WA 98101 · Phone (206) 583-6079

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

Gary Michael Nissen 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 ID5698022051
PECOS Enrollment IDI20210721000336
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.

Hospital Affiliations CMS Care Compare 2

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

Mckenzie-Willamette Medical Center

Acute Care Hospitals · Springfield, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380020
Location1460 G StreetSpringfield, OR 97477 · Lane County
Emergency services Birthing friendly

Sacred Heart Medical Center - Riverbend

Acute Care Hospitals · Springfield, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380102
Location3333 Riverbend DriveSpringfield, OR 97477 · Lane County
Emergency services Birthing friendly

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.

BARBARA J VOGEL CRNA
Nurse Anesthetist, Certified Registered
3333 RIVERBEND DR
SPRINGFIELD, OR 97477
Lane County (541) 222-3154
ALBERT R CHO D.O.
Anesthesiology
3333 RIVERBEND DR
SPRINGFIELD, OR 97477
Lane County (541) 686-7300
AMANDA ELLEN KOONCE MD
Anesthesiology
3333 RIVERBEND DR
SPRINGFIELD, OR 97477
Lane County (541) 681-5124
KEVIN MATTHEW ALLAN M.D.
Emergency Medicine
3333 RIVERBEND DR
SPRINGFIELD, OR 97477
Lane County (541) 344-8757
SARAH MARGARET VAN DE VALK OT
Occupational Therapist
3333 RIVERBEND DR
SPRINGFIELD, OR 97477
Lane County (541) 222-7300
KELLY MARIE CASEY RNC-MNN, BSN
Student in an Organized Health Care Education/Training Program
3333 RIVERBEND DR
SPRINGFIELD, OR 97477
Lane County (541) 222-3993
MARK N BODILY MD
Anesthesiology
3333 RIVERBEND DR
SPRINGFIELD, OR 97477
Lane County (541) 222-3154
SCOTLYN TARPLEY
Occupational Therapist
3333 RIVERBEND DR
SPRINGFIELD, OR 97477
Lane County (541) 222-7300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gary Nissen's NPI number?

The NPI number for Gary Nissen is 1124550520. It was assigned to this individual provider in the NPPES registry on April 3, 2017.

Where is Gary Nissen located?

Gary Nissen practices at 3333 Riverbend Dr, Springfield, OR 97477. The listed phone number is (541) 681-5124.

What is Gary Nissen's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Gary Nissen enrolled in Medicare?

Yes. Gary Nissen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Gary Nissen affiliated with any hospitals?

According to CMS data, Gary Nissen is affiliated with Mckenzie-Willamette Medical Center and Sacred Heart Medical Center - Riverbend.

When was this NPI record last updated?

The NPPES record for Gary Nissen was last updated on March 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.