Benjamin E Nissley (NPI# 1023565132, PAC ID# 2961783451) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1023565132 |
| PAC ID by PECOS | 2961783451 |
| Professional Enrollment ID | I20161220002504 |
| Full Name | Benjamin E Nissley |
| Organization Legal Name | BLUE RIDGE HEALTH CENTER INC |
| Address |
71 Tanbark Plz Lovingston VA 22949-2464 |
| Phone Number | 4342634000 |
| Gender | M |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9739082520 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490021 | CENTRA |
| 490077 | SENTARA MARTHA JEFFERSON HOSPITAL |
| 490009 | UNIVERSITY OF VIRGINIA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 71 Tanbark Plz, Lovingston, VA 22949-2464 | 4342634000 | BLUE RIDGE HEALTH CENTER INC |
| Organization Legal Name | BLUE RIDGE HEALTH CENTER INC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michelle Rae Blair | Nurse Practitioner | Blue Ridge Health Center Inc | 4038 Thomas Nelson Hwy, Arrington, VA 22922-2302 |
| Lois Ann Alderfer | Nurse Practitioner | Blue Ridge Health Center Inc | 4038 Thomas Nelson Hwy, Arrington, VA 22922-2302 |
| Benjamin Timothy Brown | Family Medicine | Blue Ridge Health Center Inc | 4038 Thomas Nelson Hwy, Arrington, VA 22922-2302 |
| Danielle Free | Nurse Practitioner | Blue Ridge Health Center Inc | 4038 Thomas Nelson Hwy, Arrington, VA 22922-2302 |
| Heather A Keyes | Clinical Social Worker | Blue Ridge Health Center Inc | 4038 Thomas Nelson Hwy, Arrington, VA 22922-2302 |
| Sherry Lynn Stanton | Nurse Practitioner | Blue Ridge Health Center Inc | 4038 Thomas Nelson Hwy, Arrington, VA 22922-2302 |
| Petheree L Nissley | Nurse Practitioner | Blue Ridge Health Center Inc | 4038 Thomas Nelson Hwy, Arrington, VA 22922-2302 |
| Barbara Jean Frost | Nurse Practitioner | Blue Ridge Health Center Inc | 4038 Thomas Nelson Hwy, Arrington, VA 22922-2302 |
| Steven Richard Alderfer | Nurse Practitioner | Blue Ridge Health Center Inc | 4038 Thomas Nelson Hwy, Arrington, VA 22922-2302 |
| Heidi Kelly | Nurse Practitioner | Blue Ridge Health Center Inc | 71 Tanbark Plz, Lovingston, VA 22949-2464 |
| Street Address |
71 TANBARK PLZ |
| City | LOVINGSTON |
| State | VA |
| Zip | 22949-2464 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heidi Kelly | Nurse Practitioner | Blue Ridge Health Center Inc | 71 Tanbark Plz, Lovingston, VA 22949-2464 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cheryl J Boeckmann | Physical Therapy | Pt Plus of Lovingston LLC | 8445 Thomas Nelson Hwy, Lovingston, VA 22949-2107 |
| Erica K Stowe | Physical Therapy | Pt Plus of Lovingston LLC | 8445 Thomas Nelson Hwy, Lovingston, VA 22949-2107 |
| John K Lackey | Ophthalmology | David M Harman Md PC | 356 Front St, Lovingston, VA 22949-2360 |
| Robert M Krym | Optometry | Harman Eye Center of Lovingston Plc | 356 Front St, Lovingston, VA 22949-2360 |
| Matthew Nolen | Physical Therapy | Rehabilitation Associates of Central Virginia Limited Partnership | 85 Callohill Dr, Lovingston, VA 22949-9701 |
| Ryan P Webb | Physical Therapy | Rehabilitation Associates of Central Virginia Limited Partnership | 85 Callohill Dr, Lovingston, VA 22949-9701 |
| City | LOVINGSTON |
| Zip Code | 22949 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | LOVINGSTON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Benjamin E Nissley.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.