Katie Nissly, CRNP in Hershey, PA

Katie Nissly, CRNP is a medicare enrolled "Pediatrics - Neonatal-perinatal Medicine" physician in Hershey, Pennsylvania. Her current practice location is 500 University Drive, Hershey, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (800) 243-1455.

Katie Nissly is licensed to practice in Pennsylvania (license number SP024730) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1821743907.

Contact Information

	Katie Nissly, CRNP
	500 University Drive, Hershey, PA 17033-2360
	(800) 243-1455
	Not Available

Map and Direction

Physician's Profile

Full Name	Katie Nissly
Gender	Female
Speciality	Pediatrics - Neonatal-perinatal Medicine
Location	500 University Drive, Hershey, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1821743907
Provider Enumeration Date: 02/16/2022
Last Update Date: 02/16/2022

Medicare PECOS Information:

PECOS PAC ID: 4789070517
Enrollment ID: I20220405000058

Medical Identifiers

Medical identifiers for Katie Nissly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821743907	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080N0001X	Pediatrics - Neonatal-perinatal Medicine	SP024730 (Pennsylvania)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Katie Nissly allows following entities to bill medicare on her behalf.

Entity Name	The Milton S Hershey Medical Center Physicians Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710951744 PECOS PAC ID: 3870405483 Enrollment ID: O20040225000741

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Katie Nissly is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Katie Nissly, CRNP 500 University Drive, Ca410, Hershey, PA 17033-2360 Ph: (800) 243-1455	Katie Nissly, CRNP 500 University Drive, Hershey, PA 17033-2360 Ph: (800) 243-1455

Reviews and Comments

Pediatrics Doctors in Hershey, PA

Kanthi Bangalore Krishna, MBBS Pediatrics Medicare: Medicare Enrolled Practice Location: 500 University Dr, Hershey, PA 17033 Phone: 800-243-1455
Emily Elizabeth Gibbons, Pediatrics Medicare: Medicare Enrolled Practice Location: 500 University Dr, Hershey, PA 17033 Phone: 717-531-8521
Eric J Michael, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 500 University Dr, Hershey, PA 17033 Phone: 800-233-4082
Roopa Siddaiah, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 500 University Dr, Hershey, PA 17033 Phone: 717-531-5338 Fax: 717-531-0761
Timothy Roach, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 500 University Dr, Hershey, PA 17033 Phone: 717-531-6039
Megan Ilgenfritz, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 500 University Dr, Hershey, PA 17033 Phone: 717-531-5606 Fax: 717-531-0648
Margaret Storm, Pediatrics Medicare: Medicare Enrolled Practice Location: Penn State Health Milton S Hershey Medical Center, 500 University Drive, Hershey, PA 17033 Phone: 717-531-7300 Fax: 717-531-8992

Katie Nissly, CRNP - Medicare Pediatrics in Hershey, PA