DANIELLE NICOLETTE DICKSON
NPI 1124580709
Family Medicine in Bronx, NY
About Danielle Nicolette Dickson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DANIELLE NICOLETTE DICKSON (NPI 1124580709) is an individual family medicine provider in Bronx, New York, licensed in New York (318920) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and is a graduate of State University Of New York At Buffalo School Of Medicine (2019).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Danielle Nicolette Dickson 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.
Medicare Billing Reassignment
Medicare enrollment records show Danielle Dickson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bronx, NY 10457
- Reassigned Medicare billing, New York enrollment
- 43 clinicians in this Medicare group
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 10467 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
BRONX, NY 10467
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 Danielle Dickson's NPI number?
The NPI number for Danielle Dickson is 1124580709. It was assigned to this individual provider in the NPPES registry on April 3, 2019.
Where is Danielle Dickson located?
Danielle Dickson practices at 111 E 210th St, Bronx, NY 10467. The listed phone number is (718) 920-4678.
What is Danielle Dickson's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Danielle Dickson enrolled in Medicare?
Yes. Danielle Dickson 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.
Which organization bills Medicare for Danielle Dickson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Danielle Dickson reassigns Medicare benefits to The Floating Hospital Inc. (Bronx, NY). 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 Danielle Dickson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Danielle Dickson was last updated on December 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Danielle Nicolette Dickson · NPI 1124580709
Family Medicine physician in Bronx, New York. Individual provider, active in the CMS NPPES registry since April 3, 2019.
## Identity
- **NPI:** 1124580709 (Entity type: Individual)
- **Enumerated:** April 3, 2019
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 318920 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 111 E 210TH ST, Bronx, NY 10467-2401
- **Phone:** (718) 920-4678
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** The Floating Hospital Inc. (NPI 1932512605, Bronx, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** State University Of New York At Buffalo School Of Medicine, class of 2019
## Record status
- **NPPES last updated:** December 5, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1124580709) · Data from the CMS NPPES public registry.