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JONATHAN GRANT DICKE
NPI 1013761147
Student in an Organized Health Care Education/Training Program in Albuquerque, NM

Active since April 15, 2024PECOS Enrolled
MSC10 5600, 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131(505) 272-2231(505) 272-8098 Get Directions Write a Review

NPPES record last updated: January 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 3, 2025, Apr 22, 2024, Apr 15, 2024 (3 updates tracked since 2024).

About Jonathan Grant Dicke NPPES

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

JONATHAN GRANT DICKE (NPI 1013761147) is an individual student in an organized health care education/training program in Albuquerque, New Mexico, licensed in New Mexico (RS2024-0060) and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013761147
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJONATHAN GRANT DICKE
Location AddressMSC10 5600, 1 UNIVERSITY OF NEW MEXICOAlbuquerque, NM 87131-0001
Mailing AddressMsc10 5600, 1 University Of New MexicoAlbuquerque, NM 87131-0001
Phone(505) 272-2231
Fax(505) 272-8098
Sole ProprietorNo
Enumeration DateApril 15, 2024
Last NPPES UpdateJanuary 3, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 3, 2025
✔ NPI 1013761147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in NM · RS2024-0060
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
MSC10 5600, 1 UNIVERSITY OF NEW MEXICO, Albuquerque, NM 87131
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jonathan Grant Dicke 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 2

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

KATHERINE MARIE SCHENKEL
Student in an Organized Health Care Education/Training Program
MSC10 5600, 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Bernalillo County (505) 727-4921
STACEY ISIDRO M.D.
Student in an Organized Health Care Education/Training Program
MSC10 5600, 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-2231

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 Jonathan Dicke's NPI number?

The NPI number for Jonathan Dicke is 1013761147. It was assigned to this individual provider in the NPPES registry on April 15, 2024.

Where is Jonathan Dicke located?

Jonathan Dicke practices at Msc10 5600, 1 University Of New Mexico, Albuquerque, NM 87131. The listed phone number is (505) 272-2231.

What is Jonathan Dicke's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jonathan Dicke enrolled in Medicare?

Yes. Jonathan Dicke is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jonathan Dicke was last updated on January 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.