RAPHILLA D DIXIE
NPI 1003465873
Counselor - Addiction (Substance Use Disorder) in Fort Wayne, IN

Q: What is Raphilla Dixie's NPI number?

The NPI number for Raphilla Dixie is 1003465873. It was assigned to this individual provider in the NPPES registry on September 5, 2019.

Q: What is Raphilla Dixie's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Raphilla Dixie was last updated on April 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 05, 2019PECOS Enrolled

3005 E STATE BLVD, FORT WAYNE, IN 46805(260) 267-9498(260) 739-3618 Get Directions Write a Review

NPPES record last updated: April 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 3, 2024, Sep 5, 2019 (2 updates tracked since 2019).

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About Raphilla D Dixie NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAPHILLA D DIXIE (NPI 1003465873) is an individual addiction (substance use disorder) provider in Fort Wayne, Indiana, licensed in Indiana (87001756A) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003465873

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameRAPHILLA D DIXIE

Location Address3005 E STATE BLVDFort Wayne, IN 46805-4736

Mailing Address3005 E State BlvdFort Wayne, IN 46805-4736 · (260) 267-9498

Phone(260) 267-9498

Fax(260) 739-3618

Sole ProprietorNo

Enumeration DateSeptember 5, 2019

Last NPPES UpdateApril 3, 20242 updates tracked since enumeration

NPPES CertifiedApril 3, 2024

✔ NPI 1003465873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in IN · 87001756A

3005 E STATE BLVD, Fort Wayne, IN 46805

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Raphilla D Dixie is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUSAN EILEEN BAILEY CNP

Nurse Practitioner (Family)

3005 E STATE BLVD
FORT WAYNE, IN 46805

Allen County (260) 267-9498

ZEENAT HABIBULLAH MD

Family Medicine (Addiction Medicine)

3005 E STATE BLVD
FORT WAYNE, IN 46805

Allen County (260) 267-9498

JENNIFER CAROL LITTKE AGPCNP-BC

Nurse Practitioner (Gerontology)

3005 E STATE BLVD
FORT WAYNE, IN 46805

Allen County (260) 267-9498

DR. JOHN ANTHONY BUONOCORE D.O.

Anesthesiology (Pain Medicine)

3005 E STATE BLVD
FORT WAYNE, IN 46805

Allen County (260) 267-9498

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Raphilla Dixie's NPI number?

The NPI number for Raphilla Dixie is 1003465873. It was assigned to this individual provider in the NPPES registry on September 5, 2019.

Where is Raphilla Dixie located?

Raphilla Dixie practices at 3005 E State Blvd, Fort Wayne, IN 46805. The listed phone number is (260) 267-9498.

What is Raphilla Dixie's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Raphilla Dixie enrolled in Medicare?

Yes. Raphilla Dixie is registered in the Medicare PECOS enrollment system.

What insurance does Raphilla Dixie accept?

Health plans from CareSource list Raphilla Dixie as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Raphilla Dixie was last updated on April 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.