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KATHLEEN WILLIAMS NISSMAN MD
NPI 1962606269
Anesthesiology in Raleigh, NC

Active since June 12, 2007PECOS EnrolledAccepts Medicare Assignment
4420 LAKE BOONE TRL, RALEIGH, NC 27607(919) 784-3241(919) 784-6862 Get Directions Write a Review

NPPES record last updated: October 31, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Kathleen Williams Nissman Md NPPES

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

KATHLEEN WILLIAMS NISSMAN MD (NPI 1962606269) is an individual anesthesiology provider in Raleigh, North Carolina, licensed in North Carolina (2011-01231) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS, is affiliated with Grady Memorial Hospital, and is a graduate of Medical University Of South Carolina College Of Medicine (2005).

NPPES Registry Identity

NPI1962606269
Entity TypeIndividualFemale
Primary Taxonomy207L00000X
Provider Legal NameKATHLEEN WILLIAMS NISSMANCredential: MD
Location Address4420 LAKE BOONE TRLRaleigh, NC 27607-7505
Mailing AddressPo Box 18139Raleigh, NC 27619-8139 · (919) 784-3241 · Fax (919) 784-6862
Phone(919) 784-3241
Fax(919) 784-6862
Sole ProprietorNo
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 2005
Enumeration DateJune 12, 2007
Last NPPES UpdateOctober 31, 2023
NPPES CertifiedOctober 31, 2023
✔ NPI 1962606269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
Licenses✔ Licensed in NC · 2011-01231✔ Licensed in GA · 97347
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
4420 LAKE BOONE TRL, Raleigh, NC 27607
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.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

Kathleen Williams Nissman Md 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 ID5193849628
PECOS Enrollment IDI20240214000613
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Grady Memorial Hospital

Acute Care Hospitals · Atlanta, GA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110079
Location80 Jesse Hill, Jr Drive SEAtlanta, GA 30303 · Fulton County
Emergency services Birthing friendly

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.

NADER CYRUS EMAMI-KELISHADI PA
Physician Assistant
4420 LAKE BOONE TRL
RALEIGH, NC 27607
Wake County (703) 585-0860
ERIC LINTON
Nurse Anesthetist, Certified Registered
4420 LAKE BOONE TRL
RALEIGH, NC 27607
Wake County (919) 784-3100
JOSHUA DAVID FISHER FNP
Nurse Practitioner (Family)
4420 LAKE BOONE TRL
RALEIGH, NC 27607
Wake County (919) 784-3100
MALLORY WOLTERING RN
Registered Nurse (Critical Care Medicine)
4420 LAKE BOONE TRL
RALEIGH, NC 27607
Wake County (919) 784-3100
JOHN O COLLINS M.D.
Psychiatry & Neurology (Neurology)
4420 LAKE BOONE TRL
RALEIGH, NC 27607
Wake County (919) 784-7093
ERIN D RUSINEK PA-C
Physician Assistant
4420 LAKE BOONE TRL, SUITE 200
RALEIGH, NC 27607
Wake County (919) 784-6818
DONNA RANSOM CRNA
Nurse Anesthetist, Certified Registered
4420 LAKE BOONE TRL
RALEIGH, NC 27607
Wake County (919) 784-3034
JOELLEN C SPECA M.D.
Internal Medicine (Hematology & Oncology)
4420 LAKE BOONE TRL, SUITE 200
RALEIGH, NC 27607
Wake County (919) 784-6818

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 Kathleen Williams Nissman's NPI number?

The NPI number for Kathleen Williams Nissman is 1962606269. It was assigned to this individual provider in the NPPES registry on June 12, 2007.

Where is Kathleen Williams Nissman located?

Kathleen Williams Nissman practices at 4420 Lake Boone Trl, Raleigh, NC 27607. The listed phone number is (919) 784-3241.

What is Kathleen Williams Nissman's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Kathleen Williams Nissman enrolled in Medicare?

Yes. Kathleen Williams Nissman 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 Kathleen Williams Nissman accept?

Health plans from Blue Cross and Blue Shield of NC list Kathleen Williams Nissman 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.

Is Kathleen Williams Nissman affiliated with any hospitals?

According to CMS data, Kathleen Williams Nissman is affiliated with Grady Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Kathleen Williams Nissman was last updated on October 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.