DR. CRYSTAL DAWNELLE DICKERSON M.D.
NPI 1184665697
Family Medicine in Kennewick, WA

Q: What is Crystal Dickerson's NPI number?

The NPI number for Crystal Dickerson is 1184665697. It was assigned to this individual provider in the NPPES registry on June 8, 2006. The provider is also known as Crystal Dawnelle Powell; Askew; Bonino.

Q: What is Crystal Dickerson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Crystal Dickerson was last updated on October 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since June 08, 2006PECOS EnrolledAccepts Medicare Assignment

721 S AUBURN ST, KENNEWICK, WA 99336(509) 547-2204 Get Directions Write a Review

NPPES record last updated: October 11, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 11, 2019, Nov 12, 2018, Mar 27, 2018 (3 updates tracked since 2018).

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About Dr. Crystal Dawnelle Dickerson M.d. NPPES

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

DR. CRYSTAL DAWNELLE DICKERSON M.D. (NPI 1184665697) is an individual family medicine provider in Kennewick, Washington, licensed in Washington (60959396) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Durango, and is a graduate of University Of New Mexico School Of Medicine (1995).

NPPES Registry Identity

NPI1184665697

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. CRYSTAL DAWNELLE DICKERSONCredential: M.D.

Location Address721 S AUBURN STKennewick, WA 99336-5629

Mailing AddressPo Box 911322Denver, CO 80291-1322 · (888) 269-7001 · Fax (303) 764-6640

Phone(509) 547-2204

Sole ProprietorNo

Medical School CMSUniversity Of New Mexico School Of MedicineGraduated 1995

Enumeration DateJune 8, 2006

Last NPPES UpdateOctober 11, 20193 updates tracked since enumeration

✔ NPI 1184665697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in WA · 60959396✔ Licensed in CO · DR.0035551

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

721 S AUBURN ST, Kennewick, WA 99336

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Other Names 1

Former Name (1)Crystal Dawnelle Powell; Askew; Bonino

Secondary Practice Location 1

Location 11 Mercado St Ste 160Durango, CO 81301-7309 · Phone (970) 385-9850 · Fax (970) 385-9854

Other Identifiers 1

Medicaid73936006CO

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

Dr. Crystal Dawnelle Dickerson M.d. 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 ID4284823139

PECOS Enrollment IDI20110107001044

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 2

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

115 services27 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99336 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 12

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

ARTIESA RAE WOODS

Social Worker (Clinical)