MRS. TINA MARIE DICKINSON AGPCNP-BC
NPI 1306337381
Nurse Practitioner - Acute Care in Newark, NY

Q: What is Tina Dickinson's NPI number?

The NPI number for Tina Dickinson is 1306337381. It was assigned to this individual provider in the NPPES registry on May 24, 2018. The provider is also known as Miss Tina Marie Jock.

Q: What is Tina Dickinson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Tina Dickinson was last updated on September 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 May 24, 2018PECOS EnrolledAccepts Medicare Assignment

95.19/100

CMS Quality Rating

1200 DRIVING PARK AVE, NEWARK, NY 14513(315) 359-2847(315) 359-2806 Get Directions Write a Review

NPPES record last updated: September 15, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 15, 2022, May 24, 2018 (2 updates tracked since 2018).

On this page

About Mrs. Tina Marie Dickinson Agpcnp-bc NPPES

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

MRS. TINA MARIE DICKINSON AGPCNP-BC (NPI 1306337381) is an individual acute care provider in Newark, New York, licensed in New York (F308478-1) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS, is affiliated with Newark-wayne Community Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1306337381

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameMRS. TINA MARIE DICKINSONCredential: AGPCNP-BC

Location Address1200 DRIVING PARK AVENewark, NY 14513-1090

Mailing AddressNewark Wayne Community Hospital 111 Driving Park Ave, Box 111, Emergency DepartmentNewark, NY 14513 · (315) 359-2847 · Fax (315) 359-2806

Phone(315) 359-2847

Fax(315) 359-2806

Sole ProprietorYes

Medical School CMSOtherGraduated 2017

Enumeration DateMay 24, 2018

Last NPPES UpdateSeptember 15, 20222 updates tracked since enumeration

NPPES CertifiedSeptember 15, 2022

✔ NPI 1306337381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in NY · F308478-1

1200 DRIVING PARK AVE, Newark, NY 14513

Open in Google Maps ↗

Other Names 1

Former Name (1)Miss Tina Marie Jock

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

Mrs. Tina Marie Dickinson Agpcnp-bc 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 ID5890042709

PECOS Enrollment IDI20180724002628

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 3

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 low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

93 services64 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

80 services26 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

34 services31 patients

Hospital Affiliations CMS Care Compare 3

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

Newark-Wayne Community Hospital

Acute Care Hospitals · Newark, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330030

Location111 Driving Park AvenueNewark, NY 14513 · Wayne County

Emergency services Birthing friendly

Rochester General Hospital

Acute Care Hospitals · Rochester, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330125

Location1425 Portland AvenueRochester, NY 14621 · Monroe County

Emergency services Birthing friendly

Clifton Springs Hospital And Clinic

Acute Care Hospitals · Clifton Springs, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330265

Location2 Coulter RoadClifton Springs, NY 14432 · Ontario County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14513 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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.

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.

95.19/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

70.62

Promoting Interoperability

100

Improvement Activities

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.

DR. BRANDON PATRICK NUGENT NP

Nurse Practitioner (Acute Care)