DR. JACKY ANN DICKMAN MD
NPI 1285437954
Surgery in Rochester, MN

Q: What is Jacky Dickman's NPI number?

The NPI number for Jacky Dickman is 1285437954. It was assigned to this individual provider in the NPPES registry on March 28, 2025.

Q: What is Jacky Dickman's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Jacky Dickman was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since March 28, 2025PECOS Enrolled

200 1ST ST SW, ROCHESTER, MN 55905(507) 284-2511 Get Directions Write a Review

NPPES record last updated: July 27, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 27, 2026, Jun 30, 2025, Mar 28, 2025 (3 updates tracked since 2025).

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About Dr. Jacky Ann Dickman Md NPPES

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

DR. JACKY ANN DICKMAN MD (NPI 1285437954) is an individual surgery provider in Rochester, Minnesota, licensed in Minnesota (83022) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS, is affiliated with Mayo Clinic Hospital Rochester, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1285437954

Entity TypeIndividualFemale

Primary Taxonomy208600000X

Provider Legal NameDR. JACKY ANN DICKMANCredential: MD

Location Address200 1ST ST SWRochester, MN 55905-0001

Mailing AddressPo Box 860912Minneapolis, MN 55486-0912 · (507) 284-2511

Phone(507) 284-2511

Sole ProprietorNo

Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2025

Enumeration DateMarch 28, 2025

Last NPPES UpdateJuly 27, 20263 updates tracked since enumeration

NPPES CertifiedJuly 27, 2026

✔ NPI 1285437954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in MN · 83022

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

200 1ST ST SW, Rochester, MN 55905

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Secondary Practice Locations 4

Location 11000 1st Dr NWAustin, MN 55912-2941 · Phone (507) 433-7351

Location 2800 West Ave SLA Crosse, WI 54601-8806 · Phone (608) 785-0940

Location 31025 Marsh StMankato, MN 56001-4752 · Phone (507) 625-1811

Location 41400 Bellinger StEau Claire, WI 54703-5222 · Phone (715) 838-5222

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jacky Ann Dickman Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4587162490

PECOS Enrollment IDI20260806000723

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

Mayo Clinic

0.4 mi

Infectious Disease

200 1ST ST SW
Rochester, MN 55905

Reassigned Medicare billing, Minnesota enrollment
6,534 clinicians in this Medicare group

NPI 1114343860 (507) 284-2511

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mayo Clinic Hospital Rochester

Acute Care Hospitals · Rochester, MN

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number240010

Location1216 Second Street SouthwestRochester, MN 55902 · Olmsted County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55905 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

Most-billed visit code 99213

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 20

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

EMILY LEASURE MD

Internal Medicine