Individual ProviderIsaac NilgesNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address85 W Burnside Ave, Bronx, NY 10453-4015(718) 716-4400(573) 821-3141PECOS EnrollmentBased on the most recent information from CMS, provider Isaac Nilges does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1811564214Provider TypeIndividualFull NameNilges, IsaacTitleMr.CredentialFNP-C, MSN, CENGenderMaleSole ProprietorNoEnumeration Date6/5/2021Last Updated6/5/2021Contact InformationPractice LocationPractice Address85 W Burnside Ave, Bronx, NY 10453-4015Phone(718) 716-4400Fax(718) 716-7301Mailing LocationMailing Address203 W Russell St, California, MO 65018-1350Phone(573) 821-3141FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense347654New York