DR. CRYSTAL DAWNELLE DICKERSON M.D.
NPI 1184665697
Family Medicine in Kennewick, WA
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
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Other Identifiers 1
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
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.
Medicare Billing Reassignments
4Medicare enrollment records show Crystal Dickerson reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Thornton, CO 80233
- Reassigned Medicare billing, Colorado enrollment
- 28 clinicians in this Medicare group
Denver, CO 80202
- Reassigned Medicare billing, Colorado enrollment
- 90 clinicians in this Medicare group
Denver, CO 80224
- Reassigned Medicare billing, Colorado enrollment
- 3 clinicians in this Medicare group
Greenwood Village, CO 80111
- Reassigned Medicare billing, Colorado enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
KENNEWICK, WA 99336
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 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.
Where is Crystal Dickerson located?
Crystal Dickerson practices at 721 S Auburn St, Kennewick, WA 99336. The listed phone number is (509) 547-2204.
What is Crystal Dickerson's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Crystal Dickerson enrolled in Medicare?
Yes. Crystal Dickerson 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 organizations bill Medicare for Crystal Dickerson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Crystal Dickerson reassigns Medicare benefits to 4 organizations: Afterours Inc (Thornton, CO), Alpine Medical Group Colorado PLLC (Denver, CO), Spire Health Pathways (Denver, CO) and Colorado Health And Wellness PLLC (Greenwood Village, CO). Each 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 Crystal Dickerson'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 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 7 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.
# Dr. Crystal Dawnelle Dickerson, M.D. · NPI 1184665697
Family Medicine physician in Kennewick, Washington. Individual provider, active in the CMS NPPES registry since June 8, 2006.
## Identity
- **NPI:** 1184665697 (Entity type: Individual)
- **Enumerated:** June 8, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 60959396 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 721 S AUBURN ST, Kennewick, WA 99336-5629
- **Phone:** (509) 547-2204
## 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:** 4 organizations under Medicare reassignment (form CMS-855R): Afterours Inc (NPI 1114008851, Thornton, CO); Alpine Medical Group Colorado PLLC (NPI 1104501873, Denver, CO); Spire Health Pathways (NPI 1972245595, Denver, CO); Colorado Health And Wellness PLLC (NPI 1447124375, Greenwood Village, CO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of New Mexico School Of Medicine, class of 1995
## Record status
- **NPPES last updated:** October 11, 2019
- **Other identifiers:** Medicaid 73936006 (CO)
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Source: [NPI Profile](https://npiprofile.com/npi/1184665697) · Data from the CMS NPPES public registry.