MERCEDES DICKINSON PH.D.
NPI 1255650800
Clinical Neuropsychologist in Medford, OR
About Mercedes Dickinson Ph.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MERCEDES DICKINSON PH.D. (NPI 1255650800) is an individual clinical neuropsychologist in Medford, Oregon, licensed in Oregon (2052) and active in the NPI registry since May 2010. She has opted out of Medicare through January 1, 2028 and maintains a secondary practice location in Medford.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Mercedes Dickinson Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2026 through January 1, 2028.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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 Mercedes Dickinson's NPI number?
The NPI number for Mercedes Dickinson is 1255650800. It was assigned to this individual provider in the NPPES registry on May 21, 2010.
Where is Mercedes Dickinson located?
Mercedes Dickinson practices at 1744 E Mcandrews Rd Ste J, Medford, OR 97504. The listed phone number is (832) 729-7687.
What is Mercedes Dickinson's specialty?
The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.
Is Mercedes Dickinson enrolled in Medicare?
No. Mercedes Dickinson has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
What insurance does Mercedes Dickinson accept?
Health plans from Moda Health Plan, Inc. list Mercedes Dickinson 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 Mercedes Dickinson was last updated on November 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Mercedes Dickinson, PH.D. · NPI 1255650800
Clinical Neuropsychologist provider in Medford, Oregon. Individual provider, active in the CMS NPPES registry since May 21, 2010.
## Identity
- **NPI:** 1255650800 (Entity type: Individual)
- **Enumerated:** May 21, 2010
- **Primary specialty:** Clinical Neuropsychologist · taxonomy 103G00000X
- **State license:** 2052 (Oregon)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1744 E MCANDREWS RD STE J, Medford, OR 97504-5576
- **Phone:** (832) 729-7687
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through January 1, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** November 5, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1255650800) · Data from the CMS NPPES public registry.