Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Michelle Ann Nissen, AG-ACNP

Individual provider Acute Care Nurse Practitioner · NPI 1346622578

Michelle Ann Nissen, AG-ACNP is a Nurse Practitioner in Dayton, Ohio. Graduated from Wright State University Boonshoft School of Medicine in 2015, 11 years ago. Practices with Premier Health Specialists Inc, a 575-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
11
Trained at
Wright State University Boonshoft School of Medicine
Licensed in
OH
In the registry since
2015
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Practice location Address checks out

1530 Needmore Rd Ste 300
Dayton, OH 45414-3980
Phone: (937) 277-4274
Fax: (937) 277-8476
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence COA.17492-NP (OH)

Record details

NPI number1346622578
Entity typeIndividual (Type 1)
GenderFemale
Credentials AG-ACNP
Sole proprietorNo
NPI enumeratedJune 24, 2015
Last updated in NPPESJuly 15, 2015

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolWRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Premier Health Specialists Inc — 575 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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