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

Nisa Semkow

Individual provider Family Nurse Practitioner · NPI 1225421902

Nisa Semkow is a Nurse Practitioner in Raleigh, North Carolina. Qualified in 2011, 15 years ago. Practices with North Carolina Mg LLC, a 712-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina and New York.

Years since qualifying
15
Licensed in
NC, NY
In the registry since
2015
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

4420 Lake Boone Trl
Raleigh, NC 27607-7505
Phone: (919) 784-3100
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 75 Broad St, New York, NY 10004-2415 — (718) 391-0611

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 5008554 (NC)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 337211 (NY)

Record details

NPI number1225421902
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 5, 2015
Last updated in NPPESJuly 21, 2022
Certification dateSeptember 18, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice North Carolina Mg Llc — 712 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Raleigh