MR. DAVID DEAN NISLEY PA-C
NPI 1710044888
Physician Assistant - Surgical in Modesto, CA
About Mr. David Dean Nisley Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. DAVID DEAN NISLEY PA-C (NPI 1710044888) is an individual surgical provider in Modesto, California, licensed in California (PA 12965) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1976).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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
Mr. David Dean Nisley Pa-c 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.
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.
MODESTO, CA 95350
MODESTO, CA 95350
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 David Nisley's NPI number?
The NPI number for David Nisley is 1710044888. It was assigned to this individual provider in the NPPES registry on January 2, 2007.
Where is David Nisley located?
David Nisley practices at 1441 Florida Ave Neurosurgery PA, Modesto, CA 95350. The listed phone number is (209) 578-1211.
What is David Nisley's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is David Nisley enrolled in Medicare?
Yes. David Nisley 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 David Nisley was last updated on March 28, 2016. 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.
# Mr. David Dean Nisley, PA-C · NPI 1710044888
Surgical physician in Modesto, California. Individual provider, active in the CMS NPPES registry since January 2, 2007.
## Identity
- **NPI:** 1710044888 (Entity type: Individual)
- **Enumerated:** January 2, 2007
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **State license:** PA 12965 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1441 FLORIDA AVE, NEUROSURGERY PA, Modesto, CA 95350-4405
- **Phone:** (209) 578-1211
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 1976
## Record status
- **NPPES last updated:** March 28, 2016
- **Other identifiers:** Medicare UPIN R23481 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1710044888) · Data from the CMS NPPES public registry.