Kenneth William Nissen, ANP
Adult Health Nurse Practitioner · Port Jefferson, NY
Kenneth William Nissen, ANP is an adult health nurse practitioner with a practice address in Port Jefferson, New York, and NPI 1043659980, issued on Jun 24, 2013. Check the license (New York 306258, as entered in NPPES) with the New York board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Kenneth William Nissen
- Credential
- ANP
- Primary taxonomy
- Adult Health Nurse Practitioner 363LA2200X
- License number
- 306258 NY
Self-reported in NPPES; status is on the state search - Practice location
- 75 N Country RD, Port Jefferson, NY 11777
- Phone
- (631) 476-2786
- Enumerated
- Jun 24, 2013
- Record last updated
- Jun 24, 2013 (not updated in 13 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20131022000044); accepts Medicare assignment
- Medical or professional school
- State University Of New York At Stony Brook, School Of Medicine, 2012
- Entity
- Type 1 · individual
8 nearest adult health nurse practitioner records → All 6,028 in New York → Look up another NPI →
Also registered at 75 N Country RD
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Yasser Abdelbaki, M.D.Internal Medicine Physician1790149771
- Omar Ahmad, MDInternal Medicine Physician1043531254
- Mohamed AhmedPsychiatry Physician1912534652
- Fareeha Ajmal, DOHospitalist Physician1285375675
- Sarmad Al Obaidi, MDStudent in an Organized Health Care Education/Training Program1780387662
- Shabab Ali, MDStudent in an Organized Health Care Education/Training Program1497694962
Verify Kenneth William Nissen in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich New York board licenses this profession
Search for license 306258Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
48% fewer Medicare Part D claims than the average adult health nurse practitioner in 2024
663 Medicare Part D claims for 327 beneficiaries, against an average of 1,280 among the 16,937 providers of this specialty who prescribed in Part D. 234 claims were for opioids.
Most prescribed
- Oxycodone Hcl144 claims
- Amoxicillin116 claims
- Meloxicam109 claims
- Famotidine53 claims
- Tramadol Hcl46 claims
- Celecoxib40 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The MIPS final score for 2023 (Medicare payment program): 91.3 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Bills Medicare through one group practice
- True North Medical Group PCValley Stream, NY
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Kenneth William Nissen among 6,028 adult health nurse practitioner records in New York
Kenneth William Nissen, ANP is one of 6,028 adult health nurse practitioner records with a practice address in New York. 69% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2013, is newer than 43% of them.
- NPI issued2013 · 43% of these records are older, 52% newer
- In a Medicare fileYes · 69% of these records are
- In the CMS Doctors and Clinicians fileYes · 44% of these records are
- Graduated2012 · median 2016 among the 2,678 with a school on file
- Record last updated2013 · 62% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363LA2200X and a New York practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
25 adult health nurse practitioner records list a practice address in Port Jefferson
They are 25 of the 983 NPPES records with a practice address in Port Jefferson, and 6,028 adult health nurse practitioner records in New York.
All 6,028 in New York → Every provider in Port Jefferson → Adult Health Nurse Practitioner nationwide →
The 8 adult health nurse practitioner records with the nearest ZIP codes
- Alisa Caliendo, ANP, MSN, BSN, RNPort Jefferson, NY 117771407194855
- Sherly Chamakala, N.PPort Jefferson, NY 117771801076294
- Kelly Connors, NPPort Jefferson, NY 117771801286489
- Patricia Dodd, N.P.Port Jefferson, NY 117771821495086
- Janice Fleischman Eaton, ANP-CPort Jefferson, NY 117771003060229
- Phyllis Macchio, NPPort Jefferson, NY 117771699088955
- Darlene McDay, AGNP-CPort Jefferson, NY 117771932497195
- Joan Nathan, A.N.P.Port Jefferson, NY 117771053438952
Common questions
What is Kenneth William Nissen, ANP's NPI number?
Kenneth William Nissen, ANP's National Provider Identifier (NPI) is 1043659980, issued on Jun 24, 2013. An NPI identifies a provider in billing; it is not a license.
Where is Kenneth William Nissen, ANP located?
The NPPES record lists a practice address at 75 N Country RD, Port Jefferson, NY, 11777. Phone: (631) 476-2786. Providers update this record themselves, so call before visiting.
How can I verify Kenneth William Nissen, ANP's license?
NPPES lists New York license number 306258, as entered by the provider. Search the New York board that licenses this profession; the NPPES record confirms identity only.
How much does Kenneth William Nissen, ANP prescribe under Medicare Part D?
In 2024, Kenneth William Nissen, ANP had 663 Medicare Part D claims for 327 beneficiaries; the average among adult health nurse practitioner prescribers was 1,280. Part D covers Medicare prescriptions only.
What is Kenneth William Nissen, ANP's MIPS final score?
The 2023 MIPS final score is 91.3 of 100. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.