Individual provider Active NPI

Nissa Marie Erickson Geisness, CNM, NP

  • Advanced Practice Midwife
  • Littleton, CO
National Provider Identifier
1467776344
Registry record updated Mar 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
CNM-5939 Issued in CO
Practice address
7780 S Broadway
Suite 280
Littleton, CO 80122-2648
Phone
(303) 738-1100
Fax
(303) 738-8202
NPI assigned
Mar 20, 2010
Last updated
Mar 20, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X NP-10176 CO
Advanced Practice Midwife 367A00000X CNM-5939 CO Primary

Addresses

Primary practice location

7780 S Broadway
Suite 280
Littleton, CO 80122-2648

Mailing address

7780 S Broadway
Suite 280
Littleton, CO 80122-2648
Phone (303) 738-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120718000720 MN Practitioner - Certified Nurse Midwife (CNM) 3779743943 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
CNM-5939COMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Park Nicollet Clinic CurrentSince May 29, 2012 Accepting new patients
Park Nicollet Clinic CurrentSince May 29, 2012 Accepting new patients
Park Nicollet Clinic Current Accepting new patients
Park Nicollet Methodist Hospital Past Accepting new patients

Locations

2001 Blaisdell Ave
Minneapolis, MN 55404
Phone (952) 993-8000

5320 Hyland Greens Dr
Minneapolis, MN 55437
Phone (952) 993-2400

6500 Excelsior Blvd
Fl 5
St Louis Park, MN 55426
Phone (952) 993-0377

6500 Excelsior Blvd
Ste 3W
St Louis Park, MN 55426
Phone (952) 993-5000

Interoperability endpoints

  • Direct secure messaging: nericksongeisness138224@direct.healthpartners.com

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1269043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269043200000",
    "number": "1467776344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7780 S BROADWAY",
            "address_2": "SUITE 280",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801222648",
            "telephone_number": "303-738-1100",
            "fax_number": "303-738-8202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7780 S BROADWAY",
            "address_2": "SUITE 280",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801222648",
            "telephone_number": "303-738-1100",
            "fax_number": "303-738-8202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICKSON GEISNESS",
        "first_name": "NISSA",
        "middle_name": "MARIE",
        "credential": "CNM, NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-20",
        "last_updated": "2010-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CO",
            "license": "NP-10176",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CO",
            "license": "CNM-5939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

Verify at the official NPI Registry.