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LANCE NISSLEY DO
NPI 1164919676
Anesthesiology in Harrisburg, PA

Active since April 19, 2018PECOS EnrolledAccepts Medicare Assignment
111 S FRONT ST, HARRISBURG, PA 17101(717) 782-5118(717) 782-5854 Get Directions Write a Review

NPPES record last updated: May 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 13, 2026, Jun 13, 2023, May 21, 2020 and 1 more (4 updates tracked since 2018).

About Lance Nissley Do NPPES

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

LANCE NISSLEY DO (NPI 1164919676) is an individual anesthesiology provider in Harrisburg, Pennsylvania, licensed in Pennsylvania (OS020413) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Au Medical Center, and maintains a secondary practice location in Fort Eisenhower.

NPPES Registry Identity

NPI1164919676
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameLANCE NISSLEYCredential: DO
Location Address111 S FRONT STHarrisburg, PA 17101-2010
Mailing Address300 W Hospital RdFort Gordon, GA 30905-5741 · (706) 787-5811
Phone(717) 782-5118
Fax(717) 782-5854
Sole ProprietorYes
Medical School CMSLake Erie Col Of Osteo Med At Seton Hill UnivGraduated 2018
Enumeration DateApril 19, 2018
Last NPPES UpdateMay 13, 20264 updates tracked since enumeration
NPPES CertifiedMay 13, 2026
✔ NPI 1164919676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in PA · OS020413
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.
111 S FRONT ST, Harrisburg, PA 17101
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Secondary Practice Location 1

Location 1300 W Hospital RdFort Eisenhower, GA 30905-5741 · Phone (706) 787-5811

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lance Nissley Do 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 ID5092244319
PECOS Enrollment IDI20250130002561
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Lance Nissley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Upmc Pinnacle Anesthesia Services, LLC
0.3 mi
Anesthesiology
111 S FRONT ST
Harrisburg, PA 17101
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 394 clinicians in this Medicare group
NPI 1730693979 (717) 782-3131
Wellstar Medical Group, LLC
590 mi
Family Medicine
687 MARIETTA HWY
Canton, GA 30114
  • Reassigned Medicare billing, Georgia enrollment
  • 3,885 clinicians in this Medicare group
NPI 1386054278 (770) 479-8040

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Au Medical Center

Acute Care Hospitals · Augusta, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110034
Location1120 15th StreetAugusta, GA 30912 · Richmond 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.

JOSEPH ELI BENAKNIN D.O.
Emergency Medicine
111 S FRONT ST
HARRISBURG, PA 17101
Dauphin County (717) 782-5908
DAVID BITTNER METZGER MD
Family Medicine
111 S FRONT ST
HARRISBURG, PA 17101
Dauphin County (717) 231-8772
MRS. HOLLY ANN MALEY CRNA
Nurse Anesthetist, Certified Registered
111 S FRONT ST
HARRISBURG, PA 17101
Dauphin County (717) 782-5118
DOUGLAS JOHNSON CRNA
Nurse Anesthetist, Certified Registered
111 S FRONT ST
HARRISBURG, PA 17101
Dauphin County (717) 782-5118
QUAN TRAN M.D.
Internal Medicine
111 S FRONT ST
HARRISBURG, PA 17101
Dauphin County (717) 231-8772
SHOUK MANSOUR RD, CDCES
Dietitian, Registered
111 S FRONT ST
HARRISBURG, PA 17101
Dauphin County (717) 782-3131
THERESA NGUYEN PHARMD
Student in an Organized Health Care Education/Training Program
111 S FRONT ST
HARRISBURG, PA 17101
Dauphin County (717) 782-3338
JONELLE R DERK CRNP
Nurse Practitioner (Family)
111 S FRONT ST
HARRISBURG, PA 17101
Dauphin County (717) 782-3380

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 Lance Nissley's NPI number?

The NPI number for Lance Nissley is 1164919676. It was assigned to this individual provider in the NPPES registry on April 19, 2018.

Where is Lance Nissley located?

Lance Nissley practices at 111 S Front St, Harrisburg, PA 17101. The listed phone number is (717) 782-5118.

What is Lance Nissley's specialty?

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

Is Lance Nissley enrolled in Medicare?

Yes. Lance Nissley 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.

Which organizations bill Medicare for Lance Nissley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lance Nissley reassigns Medicare benefits to 2 organizations: Upmc Pinnacle Anesthesia Services, LLC (Harrisburg, PA) and Wellstar Medical Group, LLC (Canton, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lance Nissley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Lance Nissley affiliated with any hospitals?

According to CMS data, Lance Nissley is affiliated with Au Medical Center.

When was this NPI record last updated?

The NPPES record for Lance Nissley was last updated on May 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.