JENNIFER LEIGH DICKINSON APRN
NPI 1164165536
Nurse Practitioner - Adult Health in Wauchula, FL

Q: What is Jennifer Dickinson's NPI number?

The NPI number for Jennifer Dickinson is 1164165536. It was assigned to this individual provider in the NPPES registry on April 14, 2022.

Q: What is Jennifer Dickinson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Active since April 14, 2022PECOS EnrolledAccepts Medicare Assignment

115 K D REVELL RD, WAUCHULA, FL 33873(863) 773-4161 Get Directions Write a Review

NPPES record last updated: April 14, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Jennifer Leigh Dickinson Aprn NPPES

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

JENNIFER LEIGH DICKINSON APRN (NPI 1164165536) is an individual adult health provider in Wauchula, Florida, licensed in Florida (APRN11017698) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Auburndale, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1164165536

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameJENNIFER LEIGH DICKINSONCredential: APRN

Location Address115 K D REVELL RDWauchula, FL 33873-2051

Mailing Address4924 Williamstown BlvdLakeland, FL 33810-3705 · (863) 430-2431

Phone(863) 773-4161

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateApril 14, 2022

NPPES CertifiedFebruary 18, 2022

✔ NPI 1164165536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in FL · APRN11017698

115 K D REVELL RD, Wauchula, FL 33873

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Secondary Practice Location 1

Location 11805 Hobbs RdAuburndale, FL 33823-4644 · Phone (863) 519-7900

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc..Insurance ›

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

Jennifer Leigh Dickinson Aprn 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 ID7416335773

PECOS Enrollment IDI20220527002148

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 Jennifer Dickinson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Florida Department Of Health

3.9 mi

Public Health or Welfare

115 K D REVELL RD
Wauchula, FL 33873

Reassigned Medicare billing, Florida enrollment
Also billed through NPI 1396732541 (Florida)
4 clinicians in this Medicare group

NPI 1780650879 (863) 773-4161

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 33873 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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 12

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

MRS. JOANNE ELIZABETH DILELLA A.R.N.P.

Nurse Practitioner (Community Health)