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Active NPI 1760988224 Individual Practitioner Male Practitioner

Dustin Duane Nickerson , FNP-C

Nurse Practitioner • Phoenix, AZ

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dustin Nickerson, FNP-C is a certified Nurse Practitioner practicing in Phoenix, AZ. With approximately 8 years of clinical experience since completing medical education in 2018, Dustin Nickerson delivers high-quality medical care to the local community at 2610 N 3RD ST.

Dustin Nickerson is affiliated with Southwest Kidney Institute Plc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2610 N 3rd St

Phoenix, AZ 850041102

Telephone 4806106100
Fax 4806106189
Associated Practice Facility / Clinic
🏢 Downtown Medical Group, P.c. Facility NPI 1295787372

Medicare Profile & Education

Medical School

Other

Graduation Year

2018

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Phoenix, AZ

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
8 Yrs -1.2 yrs vs City Avg
City Avg: 9.2 Yrs
State Avg: 8.9 Yrs
Regional Practice Density
337 Specialists

Practicing in Phoenix, AZ (1459 Statewide)

Telehealth Adoption Rate
14.5% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
56.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Nickerson (8 Years) 8 Yrs
Phoenix Specialty Average (9.2 Years) 9.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
369 301 $249.95 $104.55
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
368 303 $31.74 $13.45
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
195 112 $228.99 $94.92
84156 Total protein level, urine
173 147 $8.00 $3.60
80069 Kidney function blood test panel
170 136 $18.00 $8.51
36415 Insertion of needle into vein for collection of blood sample
162 135 $6.00 $5.88
82570 Creatinine level to test for kidney function or muscle injury
162 138 $10.00 $5.08
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test
156 134 $12.00 $6.34
83970 Parathormone (parathyroid hormone) level
117 101 $82.00 $40.45
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
83 81 $334.61 $140.93
82652 Dihydroxyvitamin d, 1, 25 level
81 69 $78.00 $37.73
84550 Uric acid level, blood
71 62 $10.00 $4.43
83735 Magnesium level
44 38 $14.00 $6.57
80053 Blood test, comprehensive group of blood chemicals
44 40 $22.00 $10.35
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
31 20 $153.03 $64.23
83540 Iron level
22 21 $12.00 $6.34
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
22 20 $16.00 $7.61
82728 Ferritin (blood protein) level
14 13 $28.00 $13.36
83550 Iron binding capacity
14 14 $18.00 $8.57

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License AZ AP11349

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Registered Nurse - Critical Care Medicine

NUCC Taxonomy Code: 163WC0200X

State License AZ RN

Definition to come...

Hospital & Practice Group Affiliations

Southwest Kidney Institute Plc

2610 N 3rd St, Phoenix, AZ 850041102

Phone: 4806106100

Secondary Practice Locations

21367 E Via Del Rancho

Queen Creek, AZ 851425260

Phone: 4803290706

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

34 Associated Practitioners
Breazi White , FNP

Nurse Practitioner - Family

NPI 1043149289

Family Nurse Practitioner

Dr. Ankur Patel , DO, MHA

Internal Medicine - Nephrology

NPI 1043405301

Doctor of Osteopathic Medicine (D.O.), MHA

Mhd Majed Abdul Wahab

Internal Medicine

NPI 1083237523
Evelyn Tiu , NP

Nurse Practitioner - Family

NPI 1083644173

Nurse Practitioner

NPI 1083646574

Doctor of Medicine (M.D.)

Dr. Shailesh Patel , DO

Internal Medicine - Nephrology

NPI 1144274861

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location September 26, 2018

Registered at 2610 N 3RD ST, PHOENIX, AZ 850041102 (Tel: 4806106100)

📍
Updated Business Mailing Address September 26, 2018

Registered at 2149 E WARNER RD STE 102, TEMPE, AZ 852843495 (Tel: 4806106100)

👤
Provider Name / Credentials Updated September 26, 2018

Recorded as DUSTIN NICKERSON, FNP-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 26, 2018

Registered Nurse (License #RN in AZ)

NPI Profile Active April 03, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location April 03, 2018

Registered at 21367 E VIA DEL RANCHO, QUEEN CREEK, AZ 851425260 (Tel: 4803290706)

📍
Updated Business Mailing Address April 03, 2018

Registered at 21367 E VIA DEL RANCHO, QUEEN CREEK, AZ 851425260 (Tel: 4803290706)

👤
Provider Name / Credentials Updated April 03, 2018

Recorded as DUSTIN NICKERSON, RN, FNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 03, 2018

Registered Nurse (License #RN177662 in AZ)

🟢
Initial NPI Registration & Enumeration April 03, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1760988224
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 03, 2018
Last Update: September 26, 2018
Sole Proprietor: Yes

Mailing Address

2149 E Warner Rd Ste 102

Tempe, AZ 852843495

Phone: 4806106100

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.