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

Kayleigh Nissle

Individual provider Family Nurse Practitioner · NPI 1740883495

Kayleigh Nissle is a Nurse Practitioner in Troy, Missouri. Qualified in 2020, 6 years ago. Practices with St Louis Dermatology and Cosmetic Surgery, a 3-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona and Missouri.

Years since qualifying
6
Licensed in
AZ, MO
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

520 E Cherry St
Troy, MO 63379-1410
Phone: (314) 834-1400
Fax: (314) 834-1430
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 14377 Woodlake Dr Ste 111, Chesterfield, MO 63017-5735 — (314) 834-1400

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2022022412 (MO)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 250088 (AZ)

Record details

NPI number1740883495
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 17, 2020
Last updated in NPPESMay 11, 2026
Certification dateMay 11, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice St Louis Dermatology And Cosmetic Surgery — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Troy