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

Individual provider Internal Medicine Physician · NPI 1053318618

Jacqueline S Nissen, MD is an Internal Medicine in Farmington, Connecticut. Graduated from University of Connecticut School of Medicine in 1989, 37 years ago. Practices with University of Connecticut Health Center, a 628-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
37
Trained at
University of Connecticut School of Medicine
Licensed in
CT
In the registry since
2005
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

263 Farmington Ave
Farmington, CT 06030-1921
Phone: (860) 679-4477
Fax: (860) 679-1025
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 032545 (CT)

Record details

NPI number1053318618
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 28, 2005
Last updated in NPPESJuly 11, 2022

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolUNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE
Graduated 1989 (37 years in practice)
Group practice University Of Connecticut Health Center — 628 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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