Active NPI
Michelle Florence Nessen, MD
- Surgery Physician
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 336975
- Practice address
- 111 East 210TH Street
Bronx, NY 10467 - Phone
- (718) 696-2583
- Fax
- (718) 881-5074
- NPI assigned
- Mar 26, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Surgery Physician | 208600000X | 336975 | LA | Primary |
Addresses
Primary practice location
111 East 210TH Street
Bronx, NY 10467
Mailing address
111 E 210TH St
Bronx, NY 10467-2401
Phone (718) 696-2583
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of Rochester School of Medicine and Dentistry, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
21 Village SQ
Chelmsford, MA 01824-2712
Phone (978) 995-3292
Hospital & facility affiliations
- Lowell General Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Medical Associates, Inc. | Surgery | Current | Accepting new patients |
| Precision Surgical Specialists of Lowell PC | Surgery | Current | Accepting new patients |
| Precision Surgical Specialists of Lowell PC | Surgery | Current | Accepting new patients |
| The Lowell General Hospital | Past | Accepting new patients | |
| Lawrence General Hospital | Past | Accepting new patients |
Locations
21 Village Sq
Chelmsford, MA 01824
Phone (978) 995-3292
140 Lincoln Ave
Haverhill, MA 01830
Phone (978) 374-2000
1 General St
Lawrence, MA 01841
Phone (978) 946-8103
70 East St
Methuen, MA 01844
Phone (978) 682-1906
35 United Dr
Ste 102
West Bridgewater, MA 02379
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/248c4eac-ef54-410c-af1d-d3a135ccb339/
- mnessen124860@tuftsmedicine.direct-ci.com
- https://fhir-myrecord.cerner.com/r4/d04f75c7-2a62-4686-b520-7bf0635f38f0/
Organizations & group practices 5
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.
-
- Surgery Physician
- Chelmsford, MA
- NPI 1669846259
-
- Surgery Physician
- Chelmsford, MA
- NPI 1932932274
-
- General Acute Care Hospital
- Lawrence, MA
- NPI 1750381281
-
- General Acute Care Hospital
- Lowell, MA
- NPI 1407804669
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lowell, MA
- NPI 1407804669
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693353600000",
"number": "1780189415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 E 210TH ST",
"city": "BRONX",
"state": "NY",
"postal_code": "104672401",
"telephone_number": "718-696-2583",
"fax_number": "718-881-5074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 EAST 210TH STREET",
"city": "BRONX",
"state": "NY",
"postal_code": "10467",
"telephone_number": "718-696-2583",
"fax_number": "718-881-5074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NESSEN",
"first_name": "MICHELLE",
"middle_name": "FLORENCE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-26",
"last_updated": "2023-08-30",
"certification_date": "2023-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "LA",
"license": "336975",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; 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.