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

J Mark Nisly, CRNP

Individual provider Critical Care Medicine Nurse Practitioner · NPI 1124734157

J Mark Nisly, CRNP is a Nurse Practitioner in Hershey, Pennsylvania. Qualified in 2022, 4 years ago. Practices with The Milton S Hershey Medical Center Physicians Group, a 1,595-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
4
Licensed in
PA
In the registry since
2023
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

500 University Dr
Hershey, PA 17033-2360
Phone: (717) 531-0000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Critical Care Medicine Nurse Practitioner (primary) Taxonomy 363LC0200X · Licence SP026545 (PA)

Record details

NPI number1124734157
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNP
Sole proprietorNo
NPI enumeratedJanuary 24, 2023
Last updated in NPPESApril 6, 2023
Certification dateApril 6, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice The Milton S Hershey Medical Center Physicians Group — 1595 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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