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JOSHUA PAUL NISSEN
NPI 1316795404
Physician Assistant - Medical in Medford, OR

Active since May 13, 2024PECOS Enrolled
534 E MAIN ST, MEDFORD, OR 97504(541) 200-1530 Get Directions Write a Review

NPPES record last updated: October 13, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Joshua Paul Nissen NPPES

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

JOSHUA PAUL NISSEN (NPI 1316795404) is an individual medical provider in Medford, Oregon, licensed in Oregon (PA227814) and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS and is a graduate of University Of Colorado School Of Medicine, Aurora (2025).

NPPES Registry Identity

NPI1316795404
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameJOSHUA PAUL NISSEN
Location Address534 E MAIN STMedford, OR 97504-7118
Mailing Address534 E Main StMedford, OR 97504-7118 · (541) 200-1530
Phone(541) 200-1530
Sole ProprietorYes
Medical School CMSUniversity Of Colorado School Of Medicine, AuroraGraduated 2025
Enumeration DateMay 13, 2024
Last NPPES UpdateOctober 13, 2025
NPPES CertifiedOctober 13, 2025
✔ NPI 1316795404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in OR · PA227814
534 E MAIN ST, Medford, OR 97504
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Joshua Paul Nissen is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1254826464
PECOS Enrollment IDI20251224000822
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.

Other Providers at the Same Location NPPES 10

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

MAE ADA MILLER CRM
Peer Specialist
534 E MAIN ST
MEDFORD, OR 97504
Jackson County (541) 200-1530
HEATHER ADELL CARSON THW
Doula
534 E MAIN ST
MEDFORD, OR 97504
Jackson County (541) 200-1530
MR. SAM BENJAMIN SCHULER CHW, PSS
Community Health Worker
534 E MAIN ST
MEDFORD, OR 97504
Jackson County (541) 200-1530
CYNTHIA IRENE SPRINGER
Case Manager/Care Coordinator
534 E MAIN ST
MEDFORD, OR 97504
Jackson County (541) 200-1530
KELSEY RENEE DEANA BROWN
Community Health Worker
534 E MAIN ST
MEDFORD, OR 97504
Jackson County (541) 200-1530
JEREMY HUBBARD
Community Health Worker
534 E MAIN ST
MEDFORD, OR 97504
Jackson County (541) 200-1530
JILLIAN LISA MARIE MAHON CADC-R, CRM
Counselor (Addiction (Substance Use Disorder))
534 E MAIN ST
MEDFORD, OR 97504
Jackson County (541) 200-1530
BILLY EMILY GRACE KILE
Lactation Consultant, Non-RN
534 E MAIN ST
MEDFORD, OR 97504
Jackson County (541) 200-1530

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 Joshua Nissen's NPI number?

The NPI number for Joshua Nissen is 1316795404. It was assigned to this individual provider in the NPPES registry on May 13, 2024.

Where is Joshua Nissen located?

Joshua Nissen practices at 534 E Main St, Medford, OR 97504. The listed phone number is (541) 200-1530.

What is Joshua Nissen's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Joshua Nissen enrolled in Medicare?

Yes. Joshua Nissen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Joshua Nissen was last updated on October 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.