Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1710694401 Individual Practitioner Female Practitioner

Dr. Laura Renee Dickerson , DNP, FNP-BC

Nurse Practitioner - Family • Byron, IL

Professional Overview & Biography Verified Profile Summary

Dr. Laura Dickerson, DNP, FNP-BC is a registered healthcare professional specializing in Nurse Practitioner - Family in Byron, IL. Practice services are available at 404 W BLACKHAWK DR LOWR LEVEL under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

404 W Blackhawk Dr Lowr Level

Byron, IL 610107500

Telephone 8159041249

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Family in Byron, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.0 Yrs
State Avg: 8.9 Yrs
Regional Practice Density
2 Specialists

Practicing in Byron, IL (7705 Statewide)

Telehealth Adoption Rate
50.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-12-27
Nurse Practitioner - Family Primary Specialty

NUCC Taxonomy Code: 363LF0000X

State License IL 209.026248

Definition to come...

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

State License IL 041.428105

(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.

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location December 27, 2023

Registered at 404 W BLACKHAWK DR LOWR LEVEL, BYRON, IL 610107500 (Tel: 8159041249)

📍
Updated Business Mailing Address December 27, 2023

Registered at 404 W BLACKHAWK DR LOWR LEVEL, BYRON, IL 610107500 (Tel: 8159041249)

NPI Profile Active November 01, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location November 01, 2022

Registered at 7177 CRIMSON RIDGE DR STE 5, ROCKFORD, IL 611076235 (Tel: 8159777019)

📍
Updated Business Mailing Address November 01, 2022

Registered at 7177 CRIMSON RIDGE DR STE 5, ROCKFORD, IL 611076235

👤
Provider Name / Credentials Updated November 01, 2022

Recorded as LAURA DICKERSON, DNP, FNP-BC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 01, 2022

Nurse Practitioner (License #041.428105 in IL)

🟢
Initial NPI Registration & Enumeration November 01, 2022

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: 1710694401
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 01, 2022
Last Update: December 27, 2023
Sole Proprietor: No

Mailing Address

404 W Blackhawk Dr Lowr Level

Byron, IL 610107500

Phone: 8159041249

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.