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

Dr. Timothy Edward Nissen, DO

Individual provider Pediatrics Physician · NPI 1114480217

Dr. Timothy Edward Nissen, DO is a Pediatric Medicine in Little Rock, Arkansas. Graduated from Oklahoma State University College of Osteopathic Medicine in 2019, 7 years ago. Practices with Arkansas Childrens Professional Services Organization LLC, a 182-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
7
Trained at
Oklahoma State University College of Osteopathic Medicine
Licensed in
AR
In the registry since
2019
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

1 Childrens Way # 512-19A
Little Rock, AR 72202-3500
Phone: (501) 364-1874
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4301 W Markham St # 783, Little Rock, AR 72205-7101 — (501) 686-8000

Specialties & licences

Pediatric Cardiology Physician (primary) Taxonomy 2080P0202X · Licence E-15736 (AR)
Pediatrics Physician Taxonomy 208000000X · Licence E-15736 (AR)

Record details

NPI number1114480217
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 8, 2019
Last updated in NPPESAugust 25, 2025
Certification dateAugust 25, 2025

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2019 (7 years in practice)
Group practice Arkansas Childrens Professional Services Organization Llc — 182 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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