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Active NPI 1699070144 Individual Practitioner Male Practitioner

Jeffry Alan Dickerson , FNP

Nurse Practitioner • San Antonio, TX

Professional Overview & Biography Verified Profile Summary

Jeffry Dickerson, FNP is a registered healthcare professional specializing in Nurse Practitioner in San Antonio, TX. Practice services are available at 3903 WISEMAN BLVD, STE 311 under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, testing for presence of drug, by chemistry analyzers, drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3903 Wiseman Blvd, Ste 311

San Antonio, TX 782514422

Telephone 2106151901
Fax 2106151905
Associated Practice Facility / Clinic
🏢 Spcsa Pllc Facility NPI 1720008527

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in San Antonio, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.9 Yrs
State Avg: 9.7 Yrs
Regional Practice Density
394 Specialists

Practicing in San Antonio, TX (4894 Statewide)

Telehealth Adoption Rate
9.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
41.5% 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 (2020)
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
121 84 $200.00 $88.20
80307 Testing for presence of drug, by chemistry analyzers
108 71 $100.00 $59.31
99213 Established patient office or other outpatient visit, typically 15 minutes
30 29 $109.00 $53.12
G0483 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms
18 17 $325.00 $228.54

Medical Specialties & State Licenses

CMS Verified: 2021-06-14
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License TX AP118266

(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.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License TX AP118266

Definition to come...

Secondary Practice Locations

12602 Toepperwein Rd Ste 218

Live Oak, TX 782333271

Phone: 2106151901

3603 Paesanos Pkwy, Ste 205a

San Antonio, TX 782311227

Phone: 2106151901

Practice Associates & Co-Workers

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

6 Associated Practitioners
Caitlin Seiler , PA-C

Physician Assistant - Medical

NPI 1205462835

Physician Assistant (Certified)

Dr. Sergio Alvarado , MD

Pain Medicine - Interventional Pain Medicine

NPI 1255309084

Doctor of Medicine (M.D.)

Estella Salazar , ACNP

Nurse Practitioner

NPI 1447583042
Dr. Dennis Karasek , MD

Pain Medicine - Interventional Pain Medicine

NPI 1679572994

Doctor of Medicine (M.D.)

David Muehe , MPAS PA

Physician Assistant

NPI 1851421747

MPASPA

Dr. Samir Patel , DO

Pain Medicine - Pain Medicine

NPI 1992965982

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

16 Historical Events
📍
Updated Practice Location June 14, 2021

Registered at 3903 WISEMAN BLVD, STE 311, SAN ANTONIO, TX 782514422 (Tel: 2106151901)

📍
Updated Business Mailing Address June 14, 2021

Registered at P.O. BOX 117614, CARROLLTON, TX 750114422 (Tel: 2106151901)

📍
Updated Practice Location May 30, 2018

Registered at 1500 CITYWEST BLVD STE 300, HOUSTON, TX 77042 (Tel: 7136204000)

📍
Updated Business Mailing Address May 30, 2018

Registered at PO BOX 840853, DALLAS, TX 752840853 (Tel: 7136204000)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 30, 2018

Nurse Practitioner (License #AP118266 in TX)

NPI Profile Active June 13, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location June 13, 2017

Registered at 3603 PAESANOS PKWY STE 100, SAN ANTONIO, TX 782311268 (Tel: 2106151901)

📍
Updated Business Mailing Address June 13, 2017

Registered at 1500 CITYWEST BLVD., SUITE 300, HOUSTON, TX 770421545 (Tel: 7136204000)

👤
Provider Name / Credentials Updated June 13, 2017

Recorded as JEFFRY DICKERSON, FNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 13, 2017

Nurse Practitioner (License #AP118266 in TX)

NPI Profile Active January 30, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location January 30, 2014

Registered at 9150 HUEBNER RD STE 130, SAN ANTONIO, TX 782401545 (Tel: 2106412848)

📍
Updated Business Mailing Address January 30, 2014

Registered at 9150 HUEBNER RD STE 130, SAN ANTONIO, TX 782401545 (Tel: 2106412848)

👤
Provider Name / Credentials Updated January 30, 2014

Recorded as JEFFRY DICKERSON, FNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 30, 2014

Nurse Practitioner (License #544237 in TX)

🟢
Initial NPI Registration & Enumeration January 13, 2011

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: 1699070144
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 13, 2011
Last Update: June 14, 2021
Sole Proprietor: No

Mailing Address

P.o. Box 117614

Carrollton, TX 750114422

Phone: 2106151901

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.