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

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: October 25, 2026.

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

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
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Raphilla Dixie reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Alliance Health Centers Inc.
2.0 mi
Federally Qualified Health Center (FQHC)
3320 N CLINTON ST
Fort Wayne, IN 46805
  • Reassigned Medicare billing, Indiana enrollment
  • 63 clinicians in this Medicare group
NPI 1528875358 (260) 266-0780

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Which organization bills Medicare for Raphilla Dixie's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Raphilla Dixie reassigns Medicare benefits to Alliance Health Centers Inc. (Fort Wayne, IN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Raphilla Dixie's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Raphilla Dixie accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and 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.