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PETHEREE NISSLEY FNP-C, PMHNP-BC
NPI 1932656048
Nurse Practitioner - Psychiatric/Mental Health in Esmont, VA

Active since September 07, 2016PECOS EnrolledAccepts Medicare Assignment
2256 IRISH RD, ESMONT, VA 22937(434) 286-3602(434) 286-3819 Get Directions Write a Review

NPPES record last updated: January 19, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 19, 2022, Nov 16, 2021, Oct 28, 2019 and 1 more (4 updates tracked since 2016).

About Petheree Nissley Fnp-c, Pmhnp-bc NPPES

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

PETHEREE NISSLEY FNP-C, PMHNP-BC (NPI 1932656048) is an individual psychiatric/mental health provider in Esmont, Virginia, licensed in Virginia (0024173882) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1932656048
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NamePETHEREE NISSLEYCredential: FNP-C, PMHNP-BC
Location Address2256 IRISH RDEsmont, VA 22937-1945
Mailing Address2256 Irish RdEsmont, VA 22937-1945
Phone(434) 286-3602
Fax(434) 286-3819
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 7, 2016
Last NPPES UpdateJanuary 19, 20224 updates tracked since enumeration
NPPES CertifiedJanuary 19, 2022
✔ NPI 1932656048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in VA · 0024173882
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 0024173882 (VA)
2256 IRISH RD, Esmont, VA 22937
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Petheree Nissley Fnp-c, Pmhnp-bc 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 ID941580427
PECOS Enrollment IDI20161130000664
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.

Medicare Billing Reassignment

Medicare enrollment records show Petheree Nissley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Central Virginia Health Services Inc
Same address
Federally Qualified Health Center (FQHC)
2256 IRISH RD
Esmont, VA 22937
  • Reassigned Medicare billing, Virginia enrollment
  • 129 clinicians in this Medicare group
NPI 1588792162 (434) 286-3602

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22937 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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 6

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

STEPHANIE KAREN BROWNELL APRN, AGPCNP-BC
Nurse Practitioner
2256 IRISH RD
ESMONT, VA 22937
Albemarle County (434) 286-3602
MARGARET J HOBSON MD
Pediatrics
2256 IRISH RD
ESMONT, VA 22937
Albemarle County (434) 286-3602
CENTRAL VIRGINIA HEALTH SERVICES INC
Clinic/Center (Federally Qualified Health Center (FQHC))
2256 IRISH RD
ESMONT, VA 22937
Albemarle County (434) 286-3602
MRS. MARY KATHERINE WARD MSN FNP-BC
Family Medicine
2256 IRISH RD
ESMONT, VA 22937
Albemarle County (434) 286-3602
LORETTA RAIFORD PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
2256 IRISH RD
ESMONT, VA 22937
Albemarle County (434) 286-3602
DAWN OSTERHOLT M.D.
Internal Medicine
2256 IRISH RD
ESMONT, VA 22937
Albemarle County (434) 286-3602

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 Petheree Nissley's NPI number?

The NPI number for Petheree Nissley is 1932656048. It was assigned to this individual provider in the NPPES registry on September 7, 2016.

Where is Petheree Nissley located?

Petheree Nissley practices at 2256 Irish Rd, Esmont, VA 22937. The listed phone number is (434) 286-3602.

What is Petheree Nissley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Petheree Nissley enrolled in Medicare?

Yes. Petheree Nissley 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.

Which organization bills Medicare for Petheree Nissley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Petheree Nissley reassigns Medicare benefits to Central Virginia Health Services Inc (Esmont, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Petheree Nissley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Petheree Nissley accept?

Health plans from Oscar Health list Petheree Nissley 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 Petheree Nissley was last updated on January 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.