Individual provider Active NPI

Nicole Diane Wissing, PA-C

  • Physician Assistant
  • Nashville, TN
National Provider Identifier
1811087901
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2039 Issued in TN
Practice address
341 Wallace Rd Ste D
Nashville, TN 37211-8001
Phone
(615) 832-2200
Fax
(615) 832-2020
NPI assigned
Oct 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2039 TN Primary

Addresses

Primary practice location

341 Wallace Rd Ste D
Nashville, TN 37211-8001

Mailing address

10001 W Innovation Dr Ste 200
Milwaukee, WI 53226-4851
Phone (888) 938-3838

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151218001776 TN Practitioner - Physician Assistant 3274549068 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

341 Wallace Rd
Suite D
Nashville, TN 37211-8001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2875TNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Diagnostic Imaging, PC Physician Assistant CurrentSince Oct 16, 2018 Accepting new patients
Murfreesboro Medical Clinic, P.a. CurrentSince Jun 25, 2025 Accepting new patients
Murfreesboro Medical Clinic, P.a. Current Accepting new patients
Advanced Diagnostic Imaging PC CurrentSince Oct 16, 2018 Accepting new patients
Advanced Ear Nose & Throat Specialists, SC Past Accepting new patients

Locations

1370 Gateway Blvd
Ste 100
Murfreesboro, TN 37129
Phone (615) 848-9252

1272 Garrison Dr
Murfreesboro, TN 37129
Phone (615) 867-7925

1430 Medical Center Pkwy
Murfreesboro, TN 37129
Phone (615) 867-8200

3443 Dickerson Pike
Ste 400
Nashville, TN 37207
Phone (615) 612-2146

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.

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1811087901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10001 W INNOVATION DR STE 200",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532264851",
            "telephone_number": "888-938-3838",
            "fax_number": "888-919-1083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 WALLACE RD STE D",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372118001",
            "telephone_number": "615-832-2200",
            "fax_number": "615-832-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISSING",
        "first_name": "NICOLE",
        "middle_name": "DIANE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "2039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.