DR. KEVIN JOSEPH NISSEN PH.D.
NPI 1245093616
Psychologist in Northport, NY
About Dr. Kevin Joseph Nissen Ph.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KEVIN JOSEPH NISSEN PH.D. (NPI 1245093616) is an individual psychologist in Northport, New York and active in the NPI registry since January 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Dr. Kevin Joseph Nissen Ph.d. 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.
Medicare Billing Reassignment
Medicare enrollment records show Kevin Nissen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Great Neck, NY 11021
- Reassigned Medicare billing, New York enrollment
- 9,353 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
NORTHPORT, NY 11768
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 Kevin Nissen's NPI number?
The NPI number for Kevin Nissen is 1245093616. It was assigned to this individual provider in the NPPES registry on January 30, 2024.
Where is Kevin Nissen located?
Kevin Nissen practices at 79 Middleville Rd, Northport, NY 11768. The listed phone number is (631) 261-4400.
What is Kevin Nissen's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Kevin Nissen enrolled in Medicare?
Yes. Kevin 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.
Which organization bills Medicare for Kevin Nissen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Nissen reassigns Medicare benefits to North Shore-Lij Medical PC (Great Neck, NY). The 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 Kevin Nissen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kevin Nissen accept?
Health plans from Oscar Health list Kevin Nissen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Kevin Nissen was last updated on January 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.