JACOB EDWARD DICKERSON DNAP
NPI 1013659960
Nurse Anesthetist, Certified Registered in Tahlequah, OK

Q: What is Jacob Dickerson's NPI number?

The NPI number for Jacob Dickerson is 1013659960. It was assigned to this individual provider in the NPPES registry on April 11, 2022.

Q: What is Jacob Dickerson's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Jacob Dickerson was last updated on July 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 April 11, 2022

78.75/100

CMS Quality Rating

100 S BLISS AVE, TAHLEQUAH, OK 74464(918) 458-3100 Get Directions Write a Review

NPPES record last updated: July 10, 2022. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Jul 10, 2022, Apr 11, 2022 (2 updates tracked since 2022).

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About Jacob Edward Dickerson Dnap NPPES

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

JACOB EDWARD DICKERSON DNAP (NPI 1013659960) is an individual nurse anesthetist, certified registered in Tahlequah, Oklahoma, licensed in Oklahoma (208980) and active in the NPI registry since April 2022. He maintains a secondary practice location in Springfield.

NPPES Registry Identity

NPI1013659960

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameJACOB EDWARD DICKERSONCredential: DNAP

Location Address100 S BLISS AVETahlequah, OK 74464-2512

Mailing Address21781 E 785 RdWelling, OK 74471-2035 · (918) 457-6922

Phone(918) 458-3100

Sole ProprietorYes

Enumeration DateApril 11, 2022

Last NPPES UpdateJuly 10, 20222 updates tracked since enumeration

NPPES CertifiedJuly 10, 2022

✔ NPI 1013659960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in OK · 208980

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

100 S BLISS AVE, Tahlequah, OK 74464

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Secondary Practice Location 1

Location 1901 S National AveSpringfield, MO 65897-0001 · Phone (417) 836-5000

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on large bowel using an endoscope 00811

Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.

25 services25 patients

Anesthesia for procedure on small and large bowel using an endoscope 00813

Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.

11 services11 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

78.75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

61.59

Promoting Interoperability

Improvement Activities

Cost

65.11

Other Providers at the Same Location NPPES 20

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

PATRICK WAYNE SHARP DO

Emergency Medicine