J MARK NISLY CRNP
NPI 1124734157
Nurse Practitioner - Critical Care Medicine in Hershey, PA

Active since January 24, 2023PECOS EnrolledAccepts Medicare Assignment
500 UNIVERSITY DR, HERSHEY, PA 17033(717) 531-0000 Get Directions Write a Review

NPPES record last updated: April 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 6, 2023, Jan 24, 2023 (2 updates tracked since 2023).

About J Mark Nisly Crnp NPPES

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

J MARK NISLY CRNP (NPI 1124734157) is an individual critical care medicine provider in Hershey, Pennsylvania, licensed in Pennsylvania (SP026545) and active in the NPI registry since January 2023. He is enrolled in Medicare PECOS, is affiliated with Milton S Hershey Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1124734157
Entity TypeIndividualMale
Primary Taxonomy363LC0200X
Provider Legal NameJ MARK NISLYCredential: CRNP
Location Address500 UNIVERSITY DRHershey, PA 17033-2360
Mailing Address3148 Lincoln Hwy EParadise, PA 17562-9601 · (620) 694-7624
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJanuary 24, 2023
Last NPPES UpdateApril 6, 20232 updates tracked since enumeration
NPPES CertifiedApril 6, 2023
NPI 1124734157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Critical Care MedicinePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LC0200X
License Licensed in PA · SP026545
500 UNIVERSITY DR, Hershey, PA 17033

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

J Mark Nisly Crnp 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 ID7810362951
PECOS Enrollment IDI20230404000164
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.

Insertion of non-tunneled central venous tube for infusion (5 years or older) 36556
This procedure involves placing a thin tube into a large vein, usually in the neck or chest, to administer medication or fluids. It's done under local anesthesia to minimize discomfort. It's a standard, safe procedure for individuals aged 5 and above.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Milton S Hershey Medical Center

Acute Care Hospitals · Hershey, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390256
Location500 University DriveHershey, PA 17033 · Dauphin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17033 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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.

Physician Assistant
500 UNIVERSITY DR
HERSHEY, PA 17033
Internal Medicine
500 UNIVERSITY DR, H088
HERSHEY, PA 17033
Otolaryngology
500 UNIVERSITY DR
HERSHEY, PA 17033
Surgery (Trauma Surgery)
500 UNIVERSITY DR
HERSHEY, PA 17033
Anesthesiology (Critical Care Medicine)
500 UNIVERSITY DR, BOX 3951, DAVISON BLDG, TRENT DRIVE
HERSHEY, PA 17033
Pathology (Clinical Pathology/Laboratory Medicine)
500 UNIVERSITY DR, HERSHEY MEDICAL CENTER
HERSHEY, PA 17033
Family Medicine
500 UNIVERSITY DR
HERSHEY, PA 17033
Pediatrics (Pediatric Endocrinology)
500 UNIVERSITY DR
HERSHEY, PA 17033

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 J Nisly's NPI number?

The NPI number for J Nisly is 1124734157. It was assigned to this individual provider in the NPPES registry on January 24, 2023.

Where is J Nisly located?

J Nisly practices at 500 University Dr, Hershey, PA 17033. The listed phone number is (717) 531-0000.

What is J Nisly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Critical Care Medicine, with taxonomy code 363LC0200X.

Is J Nisly enrolled in Medicare?

Yes. J Nisly 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 J Nisly affiliated with any hospitals?

According to CMS data, J Nisly is affiliated with Milton S Hershey Medical Center.

When was this NPI record last updated?

The NPPES record for J Nisly was last updated on April 6, 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.