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MICHELLE ANN NISSEN AG-ACNP
NPI 1346622578
Nurse Practitioner - Acute Care in Dayton, OH

Active since June 24, 2015PECOS EnrolledAccepts Medicare Assignment
76.79/100
CMS Quality Rating
1530 NEEDMORE RD STE 300, DAYTON, OH 45414(937) 277-4274(937) 277-8476 Get Directions Write a Review

NPPES record last updated: July 15, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michelle Ann Nissen Ag-acnp NPPES

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

MICHELLE ANN NISSEN AG-ACNP (NPI 1346622578) is an individual acute care provider in Dayton, Ohio, licensed in Ohio (COA.17492-NP) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS, is affiliated with Miami Valley Hospital, and is a graduate of Wright State University Boonshoft School Of Medicine (2015).

NPPES Registry Identity

NPI1346622578
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMICHELLE ANN NISSENCredential: AG-ACNP
Location Address1530 NEEDMORE RD STE 300Dayton, OH 45414-3980
Mailing Address1530 Needmore Rd Ste 300Dayton, OH 45414-3980 · (937) 277-4274 · Fax (937) 277-8476
Phone(937) 277-4274
Fax(937) 277-8476
Sole ProprietorNo
Medical School CMSWright State University Boonshoft School Of MedicineGraduated 2015
Enumeration DateJune 24, 2015
Last NPPES UpdateJuly 15, 2015
✔ NPI 1346622578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in OH · COA.17492-NP
1530 NEEDMORE RD STE 300, Dayton, OH 45414
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual.Insurance ›

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

Michelle Ann Nissen Ag-acnp 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 ID8123332459
PECOS Enrollment IDI20150730013696
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

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

Miami Valley Hospital

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360051
LocationOne Wyoming StreetDayton, OH 45409 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45414 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.79/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.65
Promoting Interoperability100
Improvement Activities40
Cost57.98

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
29%58 patients2/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
72%122 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
25%135 patients2/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
51%45 patients3/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 4

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

MATTHEW STEPHEN KELZER PA-C
Physician Assistant
1530 NEEDMORE RD STE 300
DAYTON, OH 45414
Montgomery County (937) 277-4274
VERENA GERGUIS PA-C
Physician Assistant
1530 NEEDMORE RD STE 300
DAYTON, OH 45414
Montgomery County (937) 277-4274
SHANI WALKER
Physician Assistant
1530 NEEDMORE RD STE 300
DAYTON, OH 45414
Montgomery County (937) 277-4274
DR. ERIK POLDEMANN M.D.
Internal Medicine
1530 NEEDMORE RD STE 300
DAYTON, OH 45414
Montgomery County (937) 276-4274

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 Michelle Nissen's NPI number?

The NPI number for Michelle Nissen is 1346622578. It was assigned to this individual provider in the NPPES registry on June 24, 2015.

Where is Michelle Nissen located?

Michelle Nissen practices at 1530 Needmore Rd Ste 300, Dayton, OH 45414. The listed phone number is (937) 277-4274.

What is Michelle Nissen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Michelle Nissen enrolled in Medicare?

Yes. Michelle 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.

What insurance does Michelle Nissen accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and MedMutual list Michelle 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.

Is Michelle Nissen affiliated with any hospitals?

According to CMS data, Michelle Nissen is affiliated with Miami Valley Hospital.

When was this NPI record last updated?

The NPPES record for Michelle Nissen was last updated on July 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.