BAILEY JEAN NISSEN
NPI 1720860190
Counselor - Professional in Park City, UT

Active since October 19, 2023PECOS EnrolledAccepts Medicare Assignment
1820 SIDEWINDER DR STE 100, PARK CITY, UT 84060(435) 658-9998 Get Directions Write a Review

NPPES record last updated: March 9, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 9, 2026, Oct 19, 2023 (2 updates tracked since 2023).

About Bailey Jean Nissen NPPES

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

BAILEY JEAN NISSEN (NPI 1720860190) is an individual professional provider in Park City, Utah, licensed in Utah (10437017-6009) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1720860190
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameBAILEY JEAN NISSEN
Location Address1820 SIDEWINDER DR STE 100Park City, UT 84060-7563
Mailing Address1820 Sidewinder Dr Ste 100Park City, UT 84060-7563 · (435) 658-9998
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateOctober 19, 2023
Last NPPES UpdateMarch 9, 20262 updates tracked since enumeration
NPPES CertifiedMarch 9, 2026
NPI 1720860190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in UT · 10437017-6009
1820 SIDEWINDER DR STE 100, Park City, UT 84060

Accepted 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

Bailey Jean Nissen 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 ID7113410598
PECOS Enrollment IDI20251203003896
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 7

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

Psychologist (School)
1820 SIDEWINDER DR STE 100
PARK CITY, UT 84060
Social Worker (Clinical)
1820 SIDEWINDER DR STE 100
PARK CITY, UT 84060
Social Worker (Clinical)
1820 SIDEWINDER DR STE 100
PARK CITY, UT 84060
Specialist
1820 SIDEWINDER DR STE 100
PARK CITY, UT 84060
Social Worker (Clinical)
1820 SIDEWINDER DR STE 100
PARK CITY, UT 84060
Counselor (Mental Health)
1820 SIDEWINDER DR STE 100
PARK CITY, UT 84060
Case Manager/Care Coordinator
1820 SIDEWINDER DR STE 100
PARK CITY, UT 84060

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 Bailey Nissen's NPI number?

The NPI number for Bailey Nissen is 1720860190. It was assigned to this individual provider in the NPPES registry on October 19, 2023.

Where is Bailey Nissen located?

Bailey Nissen practices at 1820 Sidewinder Dr Ste 100, Park City, UT 84060. The listed phone number is (435) 658-9998.

What is Bailey Nissen's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Bailey Nissen enrolled in Medicare?

Yes. Bailey 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 Bailey Nissen accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Bailey 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.

When was this NPI record last updated?

The NPPES record for Bailey Nissen was last updated on March 9, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.