William M Nissen, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

18981 Issued in IA

Practice address

1441 W Central Park
Davenport, IA 52804

Phone

(563) 383-1900

Fax

(563) 884-4256

NPI assigned

Mar 22, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Psychology Health Group

  • Psychologist
  • Davenport, IA
  • NPI 1629090675
  NPD (past)
• Vera French Community Mental Health

  dba Vera French Clinic at Duck Creek

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bettendorf, IA
  • NPI 1568239978
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320105600000",
    "number": "1225097843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 W CENTRAL PARK",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "52804",
            "telephone_number": "563-383-1900",
            "fax_number": "563-884-4256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 W CENTRAL PARK",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "52804",
            "telephone_number": "563-383-1900",
            "fax_number": "563-884-4256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NISSEN",
        "first_name": "WILLIAM",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-22",
        "last_updated": "2011-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IA",
            "license": "18981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0169110",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa K Neymeyer, PA
• Anh Thu Nguyen, PHARM.D.
• Chau Nguyen, MD
• NHC LLC
• Kristine Nichols-Huber, LCSW
• Susan Dale Nixon, O.D.
• Robert George Nolan, RPH.
• Christine M Nordstrom, DC
• Donna M Norman, DO
• Robert F. Norman, MSW LCSW

• Psychiatry Physician in Davenport, IA
• Providers in Davenport, IA by specialty
• Psychiatry Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.