DANA KATHRYN NISLEY
NPI 1558995266
Nurse Practitioner in Charlotte, NC

Active since March 03, 2020PECOS Enrolled
200 HAWTHORNE LN, CHARLOTTE, NC 28204(704) 384-4021(704) 384-5601 Get Directions Write a Review

NPPES record last updated: January 27, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 2, 2025, Jun 8, 2022, Jun 11, 2020 and 1 more (4 updates tracked since 2020).

About Dana Kathryn Nisley NPPES

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

DANA KATHRYN NISLEY (NPI 1558995266) is an individual nurse practitioner in Charlotte, North Carolina, licensed in North Carolina (5012958) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558995266
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameDANA KATHRYN NISLEY
Location Address200 HAWTHORNE LNCharlotte, NC 28204-2515
Mailing AddressPo Box 60447Charlotte, NC 28260-0447
Fax(704) 384-5601
Sole ProprietorNo
Enumeration DateMarch 3, 2020
Last NPPES UpdateJanuary 27, 20254 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2025
NPI 1558995266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in NC · 5012958
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X · License CUDD-JHRWD (NC)
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 5012958 (NC)
200 HAWTHORNE LN, Charlotte, NC 28204

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dana Kathryn Nisley is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28204 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Nurse Anesthetist, Certified Registered
200 HAWTHORNE LN
CHARLOTTE, NC 28204
Nurse Practitioner (Neonatal)
200 HAWTHORNE LN
CHARLOTTE, NC 28204
Psychiatry & Neurology (Neurology)
200 HAWTHORNE LN
CHARLOTTE, NC 28204
Nurse Practitioner (Critical Care Medicine)
200 HAWTHORNE LN
CHARLOTTE, NC 28204
Pharmacist (Pharmacotherapy)
200 HAWTHORNE LN
CHARLOTTE, NC 28204
Physician Assistant
200 HAWTHORNE LN
CHARLOTTE, NC 28204
Pediatrics
200 HAWTHORNE LN
CHARLOTTE, NC 28204
Nurse Anesthetist, Certified Registered
200 HAWTHORNE LN
CHARLOTTE, NC 28204

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 Dana Nisley's NPI number?

The NPI number for Dana Nisley is 1558995266. It was assigned to this individual provider in the NPPES registry on March 3, 2020.

Where is Dana Nisley located?

Dana Nisley practices at 200 Hawthorne Ln, Charlotte, NC 28204. The listed phone number is (704) 384-4021.

What is Dana Nisley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Dana Nisley enrolled in Medicare?

Yes. Dana Nisley is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dana Nisley was last updated on January 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.