CYNTHIA G. DICUS FNP
NPI 1205110301
Nurse Practitioner - Family in Rolla, MO
About Cynthia G. Dicus Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CYNTHIA G. DICUS FNP (NPI 1205110301) is an individual family provider in Rolla, Missouri, licensed in Missouri (2011034127) and active in the NPI registry since October 2011. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 3
Other Identifiers 3
Accepted 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
Cynthia G. Dicus Fnp 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 Cynthia Dicus reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Cuba, MO 65453
- Reassigned Medicare billing, Missouri enrollment
- Also billed through NPI 1235228222 (Missouri)
- 39 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 65401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
ROLLA, MO 65401
ROLLA, MO 65401
ROLLA, MO 65401
ROLLA, MO 65401
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 Cynthia Dicus's NPI number?
The NPI number for Cynthia Dicus is 1205110301. It was assigned to this individual provider in the NPPES registry on October 6, 2011.
Where is Cynthia Dicus located?
Cynthia Dicus practices at 1605 Martin Springs Dr Ste 230, Rolla, MO 65401. The listed phone number is (573) 458-6350.
What is Cynthia Dicus's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Cynthia Dicus enrolled in Medicare?
Yes. Cynthia Dicus 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 Cynthia Dicus's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Cynthia Dicus reassigns Medicare benefits to Missouri Baptist Hospital Of Sullivan (Cuba, MO). 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 Cynthia Dicus's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Cynthia Dicus accept?
Health plans from Anthem Blue Cross and Blue Shield and UnitedHealthcare list Cynthia Dicus as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Cynthia Dicus was last updated on September 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.
# Cynthia G. Dicus, FNP · NPI 1205110301
Family physician in Rolla, Missouri. Individual provider, active in the CMS NPPES registry since October 6, 2011.
## Identity
- **NPI:** 1205110301 (Entity type: Individual)
- **Enumerated:** October 6, 2011
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 2011034127 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 1605 MARTIN SPRINGS DR, STE 230, Rolla, MO 65401-2931
- **Phone:** (573) 458-6350 · **Fax:** (573) 458-6764
## 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:** Missouri Baptist Hospital Of Sullivan (NPI 1396827408, Cuba, MO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** September 26, 2025
- **Other identifiers:** Other 431560263 (MO); Other P01028023 (MO); Medicaid 1205110301 (MO)
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Source: [NPI Profile](https://npiprofile.com/npi/1205110301) · Data from the CMS NPPES public registry.