DICKINSON TELEMEDICINE
NPI 1154613594
Pediatrics - Neurodevelopmental Disabilities in Iron Mountain, MI
About Dickinson Telemedicine NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DICKINSON TELEMEDICINE (NPI 1154613594) is a healthcare organization registered as a neurodevelopmental disabilities in Iron Mountain, Michigan and active in the NPI registry since May 2011. The organization lists Alicia Henderson, Physician Billing Supervisor, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dickinson Telemedicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
136Medicare enrollment records show 136 clinicians reassign Medicare billing to Dickinson Telemedicine, which bills Medicare for the services they deliver. Of these, 39 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 24
Nearest to this location (20)
See all 136Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Dickinson County Healthcare System's NPI number?
The NPI number for Dickinson County Healthcare System is 1154613594. It was assigned to this organization in the NPPES registry on May 4, 2011. The provider is doing business as Dickinson Telemedicine.
Where is Dickinson County Healthcare System located?
Dickinson County Healthcare System is located at 1711 S Stephenson Ave Suite 230, Iron Mountain, MI 49801. The listed phone number is (906) 774-1313.
What is Dickinson County Healthcare System's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Neurodevelopmental Disabilities, with taxonomy code 2080P0008X.
Is Dickinson County Healthcare System enrolled in Medicare?
Yes. Dickinson County Healthcare System is registered in the Medicare PECOS enrollment system.
When is Dickinson County Healthcare System's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Dickinson County Healthcare System?
According to the CMS Revalidation Reassignment List (October 2026 release), 136 clinicians in 24 Medicare specialties reassign their Medicare billing to Dickinson County Healthcare System. A 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 the clinician's services. The largest specialties are Emergency Medicine (37), Nurse Practitioner (19) and Radiation Oncology (13). Of these, 39 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Dickinson County Healthcare System was last updated on May 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Dickinson Telemedicine · NPI 1154613594
Neurodevelopmental Disabilities organization in Iron Mountain, Michigan. Organization record, active in the CMS NPPES registry since May 4, 2011.
## Identity
- **NPI:** 1154613594 (Entity type: Organization)
- **Enumerated:** May 4, 2011
- **Primary specialty:** Pediatrics - Neurodevelopmental Disabilities · taxonomy 2080P0008X
- **Legal business name:** Dickinson County Healthcare System
- **Organization subpart:** No
- **Authorized official:** Alicia Henderson, PHYSICIAN BILLING SUPERVISOR
## Practice location
- **Address:** 1711 S STEPHENSON AVE, SUITE 230, Iron Mountain, MI 49801-3639
- **Phone:** (906) 774-1313 · **Fax:** (906) 776-5639
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Michigan, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 136 clinicians in 24 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Emergency Medicine (37), Nurse Practitioner (19), Radiation Oncology (13); 39 practice within 10 miles; [full list](https://npiprofile.com/npi/1154613594/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 4, 2011
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Source: [NPI Profile](https://npiprofile.com/npi/1154613594) · Data from the CMS NPPES public registry.