GREGORY K. NISSEN – NPI #1174813729
Surgery

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

GREGORY NISSEN is a surgeon located in SIOUX FALLS, SD. NPPES has assigned the NPI number 1174813729 to GREGORY NISSEN on April 17, 2011. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI data, there are 2 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 2086S0129X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Vascular Surgery

The NPI profile was previously updated about 4 years ago on Aug 07, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GREGORY NISSEN below.

NPI Profile for
GREGORY K. NISSEN

NPI Number
1174813729
Enumeration Date

(more than 15 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
GREGORY K. NISSEN
Primary location
3801 S ELMWOOD AVE
SIOUX FALLS, SD 57105-6565
Phone: (605) 306-6140 Fax: (605) 306-6500
2 Other location(s):
University Of Alabama Birmingham
1808 7th Avenue South, BDB 503
Birmingham, AL 35294-0001
Phone: (205) 934-2006
1305 W 18th St
Sioux Falls, SD 57105-0401
Phone: (605) 312-7300
Fax: (605) 312-7301
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Aug 07, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2086S0129X
- Surgery / Vascular Surgery (Primary)
SD 10915

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
3801 S ELMWOOD AVE,
SIOUX FALLS, SD 77025-1669

Additional Information

Education
UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE - Graduated 2011
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
GREGORY NISSEN is affiliated with the following medical group(s):
  • HOSPITAL
    • AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER
      1325 S CLIFF AVE POST OFFICE BOX 5045
      SIOUX FALLS, SD 57117
    • HURON REGIONAL MEDICAL CENTER
      172 FOURTH STREET SE
      HURON, SD 57350
    • SANFORD CHAMBERLAIN MEDICAL CENTER
      300 S BYRON
      CHAMBERLAIN, SD 57325
    • SANFORD USD MEDICAL CENTER
      1305 W 18TH ST POST OFFICE BOX 5039
      SIOUX FALLS, SD 57117
    • WINNER REGIONAL HEALTHCARE CENTER - CAH
      745 EAST 8TH STREET
      WINNER, SD 57580

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
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Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.