1. Home
  2. Directory
  3. Washington
  4. Walla Walla
  5. Pediatrics
  6. NPI Profile

REBEKAH DICKMAN M.D.
NPI 1083096440
Pediatrics in Walla Walla, WA

Active since June 22, 2015PECOS Enrolled
55 W TIETAN ST, WALLA WALLA, WA 99362(509) 525-3720(509) 522-1593 Get Directions Write a Review

NPPES record last updated: July 17, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Rebekah Dickman M.d. NPPES

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

REBEKAH DICKMAN M.D. (NPI 1083096440) is an individual pediatrics provider in Walla Walla, Washington, licensed in Louisiana (201467) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Baton Rouge.

NPPES Registry Identity

NPI1083096440
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameREBEKAH DICKMANCredential: M.D.
Location Address55 W TIETAN STWalla Walla, WA 99362
Mailing Address55 W Tietan StWalla Walla, WA 99362-4498 · (509) 525-3720 · Fax (509) 522-1593
Phone(509) 525-3720
Fax(509) 522-1593
Sole ProprietorYes
Enumeration DateJune 22, 2015
Last NPPES UpdateJuly 17, 2018
✔ NPI 1083096440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in LA · 201467
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
55 W TIETAN ST, Walla Walla, WA 99362
Open in Google Maps ↗

Secondary Practice Location 1

Location 17777 Hennessy Blvd, Suite 6004Baton Rouge, LA 70808-4300 · Phone (225) 765-5927

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska 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)

Rebekah Dickman M.d. 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 Rebekah Dickman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Privia Medical Group Washington, PLLC
Same address
Clinic/Center
55 W TIETAN ST
Walla Walla, WA 99362
  • Reassigned Medicare billing, Washington enrollment
  • 76 clinicians in this Medicare group
NPI 1780658419 (509) 525-3720

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99362 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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 20

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

KEVIN JON MOLANDER M.D.
Family Medicine
55 W TIETAN ST
WALLA WALLA, WA 99362
Walla Walla County (509) 525-3720
STACEY RENEE HAVEMAN PHYSICIAN ASSISTANT
Physician Assistant (Medical)
55 W TIETAN ST
WALLA WALLA, WA 99362
Walla Walla County (509) 525-3720
JUSTIN OLSWANGER DO
Family Medicine (Adult Medicine)
55 W TIETAN ST
WALLA WALLA, WA 99362
Walla Walla County (509) 525-3720
DR. JOHN ERIC MOORE D.O.
Family Medicine
55 W TIETAN ST
WALLA WALLA, WA 99362
Walla Walla County (509) 525-3720
TIMOTHY ISAMU O'CONNOR M.D.
Pediatrics
55 W TIETAN ST
WALLA WALLA, WA 99362
Walla Walla County (509) 525-3720
DIANA FITZGERALD AU.D.
Audiologist
55 W TIETAN ST
WALLA WALLA, WA 99362
Walla Walla County (509) 525-3720
GUNNAR LEIGHTON JAMES SJOREN DPT
Physical Therapist
55 W TIETAN ST
WALLA WALLA, WA 99362
Walla Walla County (509) 525-3720
EMILY GRACE CASTILLO ARNP
Nurse Practitioner (Adult Health)
55 W TIETAN ST
WALLA WALLA, WA 99362
Walla Walla County (509) 525-3720

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 Rebekah Dickman's NPI number?

The NPI number for Rebekah Dickman is 1083096440. It was assigned to this individual provider in the NPPES registry on June 22, 2015.

Where is Rebekah Dickman located?

Rebekah Dickman practices at 55 W Tietan St, Walla Walla, WA 99362. The listed phone number is (509) 525-3720.

What is Rebekah Dickman's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Rebekah Dickman enrolled in Medicare?

Yes. Rebekah Dickman is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Rebekah Dickman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rebekah Dickman reassigns Medicare benefits to Privia Medical Group Washington, PLLC (Walla Walla, WA). 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 Rebekah Dickman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rebekah Dickman accept?

Health plans from Ambetter Health, Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Rebekah Dickman 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 Rebekah Dickman was last updated on July 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.