MIRACLE DIKEH FNP-C
NPI 1306425541
Nurse Practitioner - Family in Baltimore, MD
About Miracle Dikeh Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MIRACLE DIKEH FNP-C (NPI 1306425541) is an individual family provider in Baltimore, Maryland, licensed in Maryland (R233807) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Miracle Dikeh Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Miracle Dikeh reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Rockville, MD 20854
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- 168 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 21216 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
BALTIMORE, MD 21216
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 Miracle Dikeh's NPI number?
The NPI number for Miracle Dikeh is 1306425541. It was assigned to this individual provider in the NPPES registry on April 5, 2021.
Where is Miracle Dikeh located?
Miracle Dikeh practices at 2300 Garrison Blvd, Baltimore, MD 21216. The listed phone number is (410) 362-3600.
What is Miracle Dikeh's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Miracle Dikeh enrolled in Medicare?
Yes. Miracle Dikeh is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Miracle Dikeh's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Miracle Dikeh reassigns Medicare benefits to Minuteclinic LLC (Rockville, MD). 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 Miracle Dikeh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Miracle Dikeh was last updated on June 14, 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.
# Miracle Dikeh, FNP-C · NPI 1306425541
Family physician in Baltimore, Maryland. Individual provider, active in the CMS NPPES registry since April 5, 2021.
## Identity
- **NPI:** 1306425541 (Entity type: Individual)
- **Enumerated:** April 5, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** R233807 (Maryland)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2300 GARRISON BLVD, Baltimore, MD 21216-2335
- **Phone:** (410) 362-3600
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Minuteclinic LLC (NPI 1134191836, Rockville, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** June 14, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1306425541) · Data from the CMS NPPES public registry.