MRS. TINA MARIE DICKINSON AGPCNP-BC
NPI 1306337381
Nurse Practitioner - Acute Care in Newark, NY
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
Specialties & Licenses
Other Names 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
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.
Medicare Billing Reassignments
4Medicare enrollment records show Tina Dickinson reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Newark, NY 14513
- Reassigned Medicare billing, New York enrollment
- 679 clinicians in this Medicare group
Clifton Springs, NY 14432
- Reassigned Medicare billing, New York enrollment
- 1,030 clinicians in this Medicare group
Clifton Springs, NY 14432
- Reassigned Medicare billing, New York enrollment
- 872 clinicians in this Medicare group
Sodus, NY 14551
- Reassigned Medicare billing, New York enrollment
- 2,285 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.
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.
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, NYRochester General Hospital
Acute Care Hospitals · Rochester, NYClifton Springs Hospital And Clinic
Acute Care Hospitals · Clifton Springs, NYPhysician 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.
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.
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.
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 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.
Where is Tina Dickinson located?
Tina Dickinson practices at 1200 Driving Park Ave, Newark, NY 14513. The listed phone number is (315) 359-2847.
What is Tina Dickinson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Tina Dickinson enrolled in Medicare?
Yes. Tina Dickinson 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 Tina Dickinson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tina Dickinson reassigns Medicare benefits to 4 organizations: Newark Wayne Community Hospital (Newark, NY), Western New York Medical Practice PC (Clifton Springs, NY), Clifton Springs Sanitarium Co (Clifton Springs, NY) and Rochester General Hospital (Sodus, NY). 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 Tina Dickinson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Tina Dickinson affiliated with any hospitals?
According to CMS data, Tina Dickinson is affiliated with Newark-Wayne Community Hospital, Rochester General Hospital and Clifton Springs Hospital And Clinic.
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 4 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.
# Mrs. Tina Marie Dickinson, AGPCNP-BC · NPI 1306337381
Acute Care physician in Newark, New York. Individual provider, active in the CMS NPPES registry since May 24, 2018.
## Identity
- **NPI:** 1306337381 (Entity type: Individual)
- **Enumerated:** May 24, 2018
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** F308478-1 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1200 DRIVING PARK AVE, Newark, NY 14513-1090
- **Phone:** (315) 359-2847 · **Fax:** (315) 359-2806
## 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): Newark Wayne Community Hospital (NPI 1346369212, Newark, NY); Western New York Medical Practice PC (NPI 1588060149, Clifton Springs, NY); Clifton Springs Sanitarium Co (NPI 1366505463, Clifton Springs, NY); Rochester General Hospital (NPI 1821163718, Sodus, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** September 15, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1306337381) · Data from the CMS NPPES public registry.