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Active NPI 1902258866 Individual Practitioner Female Practitioner

Audrey A. Dickerson , PA-C

Physician Assistant • Indianapolis, IN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Audrey Dickerson, PA-C is a certified Physician Assistant practicing in Indianapolis, IN. With approximately 10 years of clinical experience since completing medical education in 2016, Audrey Dickerson delivers high-quality medical care to the local community at 401 E 34TH ST.

Audrey Dickerson is affiliated with Raphael Health Center Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, emergency department visit with moderate level of medical decision making, emergency department visit with low level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

401 E 34th St

Indianapolis, IN 462053754

Telephone 3179261507
Fax 3179261508
Associated Practice Facility / Clinic
🏢 Raphael Health Center, Inc Facility NPI 1487764759

Medicare Profile & Education

Medical School

Other

Graduation Year

2016

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Indianapolis, IN

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
10 Yrs +0.8 yrs vs City Avg
City Avg: 9.2 Yrs
State Avg: 9.4 Yrs
Regional Practice Density
714 Specialists

Practicing in Indianapolis, IN (2429 Statewide)

Telehealth Adoption Rate
13.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
86.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Dickerson (10 Years) 10 Yrs
Indianapolis Specialty Average (9.2 Years) 9.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity
12 12 $1037.00 $139.43
99284 Emergency department visit with moderate level of medical decision making
11 11 $671.00 $96.18

Medical Specialties & State Licenses

CMS Verified: 2023-06-02
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IN 10002041A

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Raphael Health Center Inc

401 E 34th St, Indianapolis, IN 462053754

Phone: 3179261507

Practice Associates & Co-Workers

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

17 Associated Practitioners
Tiffany Napier , FNP-C

Nurse Practitioner - Primary Care

NPI 1013853092

Family Nurse Practitioner (Certified)

Dr. Amber Roth , MD

Family Medicine

NPI 1114124948

Doctor of Medicine (M.D.)

NPI 1174544530

Doctor of Medicine (M.D.), Master of Public Health

Erin Walia , PA

Physician Assistant - Medical

NPI 1184751943

Physician Assistant

Dr. Nathan Roth , MD

Family Medicine

NPI 1336346162

Doctor of Medicine (M.D.)

Sierra Lee , LCSW

Social Worker - Clinical

NPI 1396128922

Licensed Clinical Social Worker

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location June 02, 2023

Registered at 401 E 34TH ST, INDIANAPOLIS, IN 462053754 (Tel: 3179261507)

📍
Updated Business Mailing Address April 21, 2023

Registered at 401 E 34TH ST, INDIANAPOLIS, IN 462053754 (Tel: 3179261507)

📍
Updated Practice Location September 07, 2018

Registered at 1515 N MADISON AVE, ANDERSON, IN 46011 (Tel: 7652985141)

👤
Provider Name / Credentials Updated September 07, 2018

Recorded as AUDREY DICKERSON, PA-C

NPI Profile Active July 05, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location July 05, 2016

Registered at 1515 N MADISON AVE, ANDERSON, IN 460113453 (Tel: 7652985141)

📍
Updated Business Mailing Address July 05, 2016

Registered at PO BOX 652, INDIANAPOLIS, IN 462060652 (Tel: 2604078007)

👤
Provider Name / Credentials Updated July 05, 2016

Recorded as AUDREY GLEASON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 05, 2016

Physician Assistant (License #10002041A in IN)

🟢
Initial NPI Registration & Enumeration July 05, 2016

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: 1902258866
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 05, 2016
Last Update: June 02, 2023
Sole Proprietor: No

Mailing Address

401 E 34th St

Indianapolis, IN 462053754

Phone: 3179261507

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.