ELIZABETH SUZAN DYKEMAN FNP-C
NPI 1063128494
Nurse Practitioner - Family in Webster Groves, MO

Active since January 30, 2023PECOS EnrolledAccepts Medicare Assignment
8021 WATSON RD, WEBSTER GROVES, MO 63119(866) 389-2727 Get Directions Write a Review

NPPES record last updated: April 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 9, 2024, Jan 30, 2023 (2 updates tracked since 2023).

About Elizabeth Suzan Dykeman Fnp-c NPPES

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

ELIZABETH SUZAN DYKEMAN FNP-C (NPI 1063128494) is an individual family provider in Webster Groves, Missouri, licensed in Illinois (209026921) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1063128494
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameELIZABETH SUZAN DYKEMANCredential: FNP-C
Location Address8021 WATSON RDWebster Groves, MO 63119-5304
Mailing Address33 E Airline DrEast Alton, IL 62024-1703 · (314) 374-9965
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateJanuary 30, 2023
Last NPPES UpdateApril 9, 20242 updates tracked since enumeration
NPPES CertifiedApril 3, 2024
NPI 1063128494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in IL · 209026921 Licensed in MO · 2023001205
8021 WATSON RD, Webster Groves, MO 63119

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

Elizabeth Suzan Dykeman Fnp-c 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.

PECOS PAC ID6406220383
PECOS Enrollment IDI20230315002195
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.

Areas of Expertise CMS Part B claims 4

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.

Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
19 services19 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
19 services19 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
17 services17 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
15 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63119 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

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

Pharmacy
8021 WATSON RD
WEBSTER GROVES, MO 63119
Pharmacist
8021 WATSON RD
WEBSTER GROVES, MO 63119
Pharmacist
8021 WATSON RD
WEBSTER GROVES, MO 63119
Nurse Practitioner (Family)
8021 WATSON RD
WEBSTER GROVES, MO 63119
Nurse Practitioner (Family)
8021 WATSON RD
WEBSTER GROVES, MO 63119
Nurse Practitioner (Family)
8021 WATSON RD
SAINT LOUIS, MO 63119
Nurse Practitioner (Family)
8021 WATSON RD
WEBSTER GROVES, MO 63119
Pharmacist
8021 WATSON RD
SAINT LOUIS, MO 63119

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 Elizabeth Dykeman's NPI number?

The NPI number for Elizabeth Dykeman is 1063128494. It was assigned to this individual provider in the NPPES registry on January 30, 2023.

Where is Elizabeth Dykeman located?

Elizabeth Dykeman practices at 8021 Watson Rd, Webster Groves, MO 63119. The listed phone number is (866) 389-2727.

What is Elizabeth Dykeman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Elizabeth Dykeman enrolled in Medicare?

Yes. Elizabeth Dykeman 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 Elizabeth Dykeman was last updated on April 9, 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.