Cullen Reed Nisson, MD

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

ME163579 Issued in FL

Practice address

119 Oakfield Dr
Brandon, FL 33511-5779

Phone

(813) 681-5551

NPI assigned

Mar 23, 2021

Last updated

Mar 11, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

South Miami Inpatient PhysiciansGroup PAC ID 2567429483, 88 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• D&N Home Care Agency Inc Home health agency, Miami, FL, CCN 687120
• Homestead Hospital Hospital, Homestead, FL, CCN 100125
• Mariners Hospital Hospital, Tavernier, FL, CCN 101313
• Fishermen's Community Hospital Hospital, Marathon, FL, CCN 101312
• Baptist Hospital of Miami Hospital, Miami, FL, CCN 100008

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• South Miami Inpatient Physicians

  • Internal Medicine Physician
  • South Miami, FL
  • NPI 1346313194
  Medicare reassignment Care Compare group NPD
• QMC LLC

  dba QMC Cares

  • Hospitalist Physician
  • Miami, FL
  • NPI 1003216391
  Medicare reassignment NPD
• First Docs PC

  • Internal Medicine Physician
  • Naperville, IL
  • NPI 1417655465

  FL

  Medicare reassignment NPD
• National Health Rehabilitation LLC

  • Physical Medicine & Rehabilitation Physician
  • Edgewater, NJ
  • NPI 1780080218
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baptist Hospital of Miami Inc

  dba Baptist Hospital

  • General Acute Care Hospital
  • Miami, FL
  • NPI 1528042884
  Care Compare affiliation
• D&N Home Care Agency, Inc.

  • In Home Supportive Care Agency
  • Miami, FL
  • NPI 1104467141

  Home health agency

  Care Compare affiliation
• Fishermens Health Inc

  • Critical Access Hospital
  • Marathon, FL
  • NPI 1235669110
  Care Compare affiliation
• Homestead Hospital, Inc.

  dba Homestead Hospital

  • General Acute Care Hospital
  • Homestead, FL
  • NPI 1578547865
  Care Compare affiliation
• Mariners Hospital, Inc

  dba Mariners Hospital

  • Critical Access Hospital
  • Tavernier, FL
  • NPI 1518941806
  Care Compare affiliation

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

{
    "created_epoch": "1616457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1609452341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 OAKFIELD DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 OAKFIELD DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115779",
            "telephone_number": "813-681-5551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NISSON",
        "first_name": "CULLEN",
        "middle_name": "REED",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-23",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME163579",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "FL",
            "license": "ME163579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wanda Ivelisse Nieves-Moreno, D.C.
• Nancy Nieves, APRN, FNP-BC
• Kathleen Teresa Nightlinger, MS, OTRL
• Fnu Nirander, M.D.
• Whitney Elise Nishikawa, CCC-SLP
• Zuleika Nivens
• Kim Nixon
• NMC LLC (New Millennium CyberKnife Center)
• NMS Pain Solutions LLC
• Gayle Noble

• Adult Medicine Physician in Brandon, FL
• Providers in Brandon, FL by specialty
• Adult Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.