Nicole Renee Nissen
NPI 1629569843ActiveIndividual· Nurse Practitioner, Family· Waterloo, IL
Nurse Practitioner, Family with Generation Clinical Partners LLC and 1 other group, practicing in Waterloo, Illinois. 168 Medicare patients in 2024, $68,232 paid; nearly all of their 1,349 Part D prescriptions were generic (94%). Lists Red Bud Regional Hospital as a hospital affiliation.
Overview
| NPI | 1629569843 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | May 23, 2018 |
| Last updated in NPPES | Apr 17, 2025 |
| Certified by provider | Apr 17, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 2018012260 | MO |
| Nurse Practitioner | 363L00000X | 209017442 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (IL); Practitioner - Nurse Practitioner (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 168 |
|---|---|
| Services billed | 896 across 13 procedure codes |
| Paid by Medicare | $68,232 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,349 · 1,363 30-day fills |
|---|---|
| Patients | 123 |
| Total drug cost | $61,850 |
| Generic share | 94% of claims |
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical groups
- Generation Clinical Partners LLCWaterloo, IL · 24 clinicians
- Pai Participant 27, PCWaterloo, IL · 9 clinicians
Hospital affiliation
- Red Bud Regional HospitalRed Bud, IL
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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