NISSA J GOSSOM CNM
NPI 1659680130
Advanced Practice Midwife in Allentown, PA

Active since September 30, 2010PECOS EnrolledAccepts Medicare Assignment
1611 POND RD, SUITE 401, ALLENTOWN, PA 18104(610) 398-7700 Get Directions Write a Review

NPPES record last updated: December 18, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nissa J Gossom Cnm NPPES

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

NISSA J GOSSOM CNM (NPI 1659680130) is an individual advanced practice midwife in Allentown, Pennsylvania, licensed in Pennsylvania (MW010224) and active in the NPI registry since September 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1659680130
Entity TypeIndividualFemale
Primary Taxonomy367A00000X
Provider Legal NameNISSA J GOSSOMCredential: CNM
Location Address1611 POND RD, SUITE 401Allentown, PA 18104-2258
Mailing AddressPo Box 783311Philadelphia, PA 19178-3311
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateSeptember 30, 2010
Last NPPES UpdateDecember 18, 2015
NPI 1659680130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367A00000X
License Licensed in PA · MW010224
Definition
Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.
1611 POND RD, Allentown, PA 18104

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

Nissa J Gossom Cnm 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 ID3072793884
PECOS Enrollment IDI20110211000259
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 18104 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
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 Practitioner (Obstetrics & Gynecology)
1611 POND RD, SUITE 401
ALLENTOWN, PA 18104
Obstetrics & Gynecology
1611 POND RD, SUITE 102
ALLENTOWN, PA 18104
Clinic/Center (Medical Specialty)
1611 POND RD, SUITE 101
ALLENTOWN, PA 18104
Clinic/Center (Endoscopy)
1611 POND RD
ALLENTOWN, PA 18104
Obstetrics & Gynecology
1611 POND RD, SUITE 401
ALLENTOWN, PA 18104
Clinic/Center (Medical Specialty)
1611 POND RD, STE 101
ALLENTOWN, PA 18104
Pediatrics (Adolescent Medicine)
1611 POND RD, SUITE 400
ALLENTOWN, PA 18104
Ophthalmology
1611 POND RD, STE 403
ALLENTOWN, PA 18104

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 Nissa Gossom's NPI number?

The NPI number for Nissa Gossom is 1659680130. It was assigned to this individual provider in the NPPES registry on September 30, 2010.

Where is Nissa Gossom located?

Nissa Gossom practices at 1611 Pond Rd Suite 401, Allentown, PA 18104. The listed phone number is (610) 398-7700.

What is Nissa Gossom's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Is Nissa Gossom enrolled in Medicare?

Yes. Nissa Gossom 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.

When was this NPI record last updated?

The NPPES record for Nissa Gossom was last updated on December 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.