JACOB EDWARD DICKERSON DNAP
NPI 1013659960
Nurse Anesthetist, Certified Registered in Tahlequah, OK
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 and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses 2
(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.
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jacob Edward Dickerson Dnap is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 74464 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
TAHLEQUAH, OK 74464
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 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.
Where is Jacob Dickerson located?
Jacob Dickerson practices at 100 S Bliss Ave, Tahlequah, OK 74464. The listed phone number is (918) 458-3100.
What is Jacob Dickerson's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Jacob Dickerson enrolled in Medicare?
Yes. Jacob Dickerson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Jacob Dickerson was last updated on July 10, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.
