Kristi Jo Nissley (NPI# 1811225717, PAC ID# 3577698349) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1811225717 |
PAC ID by PECOS | 3577698349 |
Professional Enrollment ID | I20100318000323 |
Full Name | Kristi Jo Nissley |
Organization Legal Name | ST VINCENT MEDICAL GROUP INC |
Address |
2759 State Rd Suite 37 Mitchell IN 47446-6016 |
Phone Number | 8128496420 |
Gender | F |
Graduation Year | 2008 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 7012047640 |
Number of Group Practice Members | 699 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
151335 | ST VINCENT DUNN HOSPITAL INC |
151306 | INDIANA UNIVERSITY HEALTH PAOLI HOSPITAL |
151328 | INDIANA UNIVERSITY HEALTH BEDFORD HOSPITAL |
Address | Phone | Organization |
---|---|---|
2759 State Rd, Suite 37, Mitchell, IN 47446-6016 | 8128496420 | ST VINCENT MEDICAL GROUP INC |
Organization Legal Name | ST VINCENT MEDICAL GROUP INC |
Physicians | 702 |
Name | Specialty | Organization | Address |
---|---|---|---|
Amanda J. Lyon | Cardiovascular Disease (cardiology) | St Vincent Medical Group Inc | 10590 N Meridian St, Indianapolis, IN 46290-1028 |
Mohamad H Yousef | Gastroenterology | St Vincent Medical Group Inc | 2010 W 86th St, Suite 111, Indianapolis, IN 46260-1930 |
Stephanie Ann Mason | Nurse Practitioner | St Vincent Medical Group Inc | 8402 Harcourt Rd, Indianapolis, IN 46260-2056 |
Emily Kelly Koffel | Nurse Practitioner | St Vincent Medical Group Inc | 2001 W 86th St, Indianapolis, IN 46260-1902 |
Bobbie Nakole Jellison | Family Medicine | St Vincent Medical Group Inc | 8424 Naab Road Bulding, 1 1e, Indianapolis, IN 46260-1954 |
Jessica Dawn Augenstine | Nurse Practitioner | St Vincent Medical Group Inc | 5629 Lee Rd, Indianapolis, IN 46216-2003 |
Hannah Rebekah Thornton | Nurse Practitioner | St Vincent Medical Group Inc | 14828 Greyhound Ct, Suite 100, Carmel, IN 46032-5016 |
John Gary Quiles | Gastroenterology | St Vincent Medical Group Inc | 1515 N Madison Ave, Anderson, IN 46011-3453 |
Yvette Monique Caviness-kelley | Nurse Practitioner | St Vincent Medical Group Inc | 2155 E Main St, Plainfield, IN 46168-1816 |
Erin Michelle Watson | Nurse Practitioner | St Vincent Medical Group Inc | 4778 S Scatterfield Rd, Anderson, IN 46013-2908 |
Street Address |
2759 STATE RD SUITE 37 |
City | MITCHELL |
State | IN |
Zip | 47446-6016 |
Name | Specialty | Organization | Address |
---|---|---|---|
Matthew Main | Family Medicine | St Vincent Medical Group Inc | 2759 State Rd, Suite 37, Mitchell, IN 47446-6016 |
Name | Specialty | Organization | Address |
---|---|---|---|
Travis R Snow | Chiropractic | 1011 W Warren St, Mitchell, IN 47446-1338 | |
Zachary C Short | Optometry | Insights Optical, Inc. | 725 W Main St, Mitchell, IN 47446-1414 |
City | MITCHELL |
Zip Code | 47446 |
Specialty | NURSE PRACTITIONER |
City + Specialty | MITCHELL + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kristi Jo Nissley.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.