Petheree Nissley, FNP-C, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Esmont, Virginia. She graduated from nursing school in 2016 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Central Virginia Health Services Inc and her current practice location is
2256 Irish Rd, Esmont, Virginia. You can reach out to her office (for appointments etc.) via phone at
(434) 286-3602.
Petheree Nissley is licensed to practice in Virginia (license number 0024173882) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1932656048.
Provider's Profile
| Full Name | Petheree Nissley |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 10 Years |
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| Location | 2256 Irish Rd, Esmont, Virginia |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Petheree Nissley graduated from nursing school in 2016
NPI Data:
- NPI Number: 1932656048
- Provider Enumeration Date: 09/07/2016
- Last Update Date: 01/19/2022
Medicare PECOS Information:
- PECOS PAC ID: 0941580427
- Enrollment ID: I20161130000664
Medical Identifiers
Medical identifiers for Petheree Nissley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1932656048 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 0024173882 (Virginia) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 0024173882 (Virginia) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Central Virginia Health Services Inc | 0345158432 | 91 |
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. Petheree Nissley allows following entities to bill medicare on her behalf.
| Entity Name | Central Virginia Health Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134258601
PECOS PAC ID: 0345158432
Enrollment ID: O20031119000823 |
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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. Petheree Nissley 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 |
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Petheree Nissley, FNP-C, PMHNP-BC
2256 Irish Rd,
Esmont, VA 22937-1945
Ph: () - | Petheree Nissley, FNP-C, PMHNP-BC
2256 Irish Rd,
Esmont, VA 22937-1945
Ph: (434) 286-3602 |
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