Nicole Renee Nissen
Nicole Renee Nissen is a Nurse Practitioner in Waterloo, Illinois. Qualified in 2017, 9 years ago. Practices with Generation Clinical Partners LLC, a 24-clinician group and accepts Medicare assignment. Licensed in Illinois and Missouri.
- Years since qualifying
- 9
- Licensed in
- IL, MO
- In the registry since
- 2018
- Specialties on file
- 2
Practice location Address checks out
623 Hamacher StWaterloo, IL 62298-1786
Phone: (314) 925-0903
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 2018012260 (MO) |
|---|---|
| Nurse Practitioner | Taxonomy 363L00000X · Licence 209017442 (IL) |
Record details
| NPI number | 1629569843 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 23, 2018 |
| Last updated in NPPES | April 17, 2025 |
| Certification date | April 17, 2025 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2017 (9 years in practice) |
| Group practice | Generation Clinical Partners Llc — 24 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
Other providers in Waterloo
-
MS. Carol Ann Glascock, APNP
723 Station Xing, Waterloo, IL 62298-1886 · (618) 939-1551
-
Erin Kayla Lewis, FNP-C
907 N Illinois Route 3, Waterloo, IL 62298-1074 · (618) 350-0200
-
Mrs. Theresa McFadin, FNP-C
6100 Illini Trl, Waterloo, IL 62298-3547 · (618) 616-4782