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

Kerry Michael Nissley

Individual provider Family Nurse Practitioner · NPI 1497160295

Kerry Michael Nissley is a Nurse Practitioner in East Petersburg, Pennsylvania. Qualified in 2014, 12 years ago. Practices with Lancaster General Medical Group, a 582-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
12
Licensed in
PA
In the registry since
2014

Practice location Address checks out

5665 Main St
East Petersburg, PA 17520-1513
Phone: (717) 569-7011
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence SP013914 (PA)

Record details

NPI number1497160295
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 1, 2014
Last updated in NPPESJuly 1, 2014

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Lancaster General Medical Group — 582 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in East Petersburg