Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1295926384 Individual Practitioner Female Practitioner

Michelle Lea Dickerson , CFNP

Nurse Practitioner • Jackson, MS

Professional Overview & Biography Verified Profile Summary

Michelle Dickerson, CFNP is a registered healthcare professional specializing in Nurse Practitioner in Jackson, MS. Practice services are available at 2500 NORTH STATE STREET under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, administration of influenza virus vaccine. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2500 North State Street

Jackson, MS 392164500

Telephone 6018154790
Fax 6019846870
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Jackson, MS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.4 Yrs
State Avg: 11.5 Yrs
Regional Practice Density
169 Specialists

Practicing in Jackson, MS (1098 Statewide)

Telehealth Adoption Rate
5.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
56.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
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
129 119 $200.00 $84.60
99213 Established patient office or other outpatient visit, typically 15 minutes
31 30 $125.00 $58.20
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
22 22 $270.00 $114.66

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MS R828866

(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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
06626200 (MS)

Practice Associates & Co-Workers

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

10 Associated Practitioners
Kelly Land , CFNP

Nurse Practitioner

NPI 1154369700
Dr. John Wofford , MD

Physical Medicine & Rehabilitation

NPI 1255341525

Doctor of Medicine (M.D.)

Dr. Amanda Clark , MD

Internal Medicine

NPI 1285951574

Doctor of Medicine (M.D.)

Dr. Daniel Woodliff , MD

Internal Medicine

NPI 1316954225

Doctor of Medicine (M.D.)

Susan Mixon , NP-C

Nurse Practitioner - Family

NPI 1548213226

Nurse Practitioner (Certified)

Dr. Jerry Sheppard , MD

Internal Medicine

NPI 1649280983

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active January 25, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location January 25, 2017

Registered at 2500 NORTH STATE STREET, JACKSON, MS 392164500 (Tel: 6018154790)

📍
Updated Business Mailing Address January 25, 2017

Registered at 2500 NORTH STATE STREET, JMM ROOM 2525, JACKSON, MS 392164500 (Tel: 6018154790)

👤
Provider Name / Credentials Updated January 25, 2017

Recorded as MICHELLE DICKERSON, CFNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 25, 2017

Nurse Practitioner (License #R828866 in MS)

NPI Profile Active September 07, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location September 07, 2016

Registered at 2500 NORTH STATE STREET, JACKSON, MS 392164500 (Tel: 6018154790)

📍
Updated Business Mailing Address September 07, 2016

Registered at 2500 NORTH STATE STREET, JMM ROOM 2525, JACKSON, MS 392164500 (Tel: 6018154790)

👤
Provider Name / Credentials Updated September 07, 2016

Recorded as MICHELLE DICKERSON, CFNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 07, 2016

Nurse Practitioner (License #R828866 in MS)

🟢
Initial NPI Registration & Enumeration August 05, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Michelle Dickerson. Be the first to share your experience!

Sign in to leave a review for Michelle Dickerson

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1295926384
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 05, 2007
Last Update: January 25, 2017
Sole Proprietor: No

Mailing Address

2500 North State Street, Jmm Room 2525

Jackson, MS 392164500

Phone: 6018154790

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.