Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Dustin L. Nissen, MD

Individual provider Family Medicine Physician · NPI 1508147232

Dr. Dustin L. Nissen, MD is a Family Practice in Phoenix, Arizona. Graduated from University of Arizona College of Medicine in 2008, 18 years ago. Practices with Aia Hospitalists LLC, a 52-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
18
Trained at
University of Arizona College of Medicine
Licensed in
AZ
In the registry since
2011
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4530 E Muirwood Dr #105
Phoenix, AZ 85048-7639
Phone: (480) 961-2303
Fax: (480) 961-2306
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 48734 (AZ)

Record details

NPI number1508147232
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 8, 2011
Last updated in NPPESSeptember 8, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Also practisesHOSPITALIST
Medical schoolUNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
Graduated 2008 (18 years in practice)
Group practice Aia Hospitalists Llc — 52 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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