MRS. EMMANUELL DICKERSON APRN
NPI 1336528173
Nurse Practitioner - Family in Panama City, FL

Q: What is Emmanuell Dickerson's NPI number?

The NPI number for Emmanuell Dickerson is 1336528173. It was assigned to this individual provider in the NPPES registry on May 26, 2015. The provider is also known as Mrs. Emmanuelle Dickerson Aprn.

Q: What is Emmanuell Dickerson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since May 26, 2015PECOS EnrolledAccepts Medicare Assignment

449 W 23RD ST, PANAMA CITY, FL 32405(334) 618-2614(334) 618-2614 Get Directions Write a Review

NPPES record last updated: December 6, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 6, 2022, Dec 3, 2021, Sep 5, 2018 and 1 more (4 updates tracked since 2016).

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About Mrs. Emmanuell Dickerson Aprn NPPES

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

MRS. EMMANUELL DICKERSON APRN (NPI 1336528173) is an individual family provider in Panama City, Florida, licensed in Florida (ARNP 9409105) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1336528173

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. EMMANUELL DICKERSONCredential: APRN

Location Address449 W 23RD STPanama City, FL 32405

Mailing Address110 James WayPanama City, FL 32409-1776 · (334) 618-2614 · Fax (334) 618-2614

Phone(334) 618-2614

Fax(334) 618-2614

Sole ProprietorYes

Medical School CMSOtherGraduated 2015

Enumeration DateMay 26, 2015

Last NPPES UpdateDecember 6, 20224 updates tracked since enumeration

NPPES CertifiedDecember 6, 2022

✔ NPI 1336528173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in FL · ARNP 9409105✔ Licensed in AL · 3-001041

Also ListedRegistered NurseTaxonomy 163W00000X · License RN9409105 (FL)

449 W 23RD ST, Panama City, FL 32405

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Other Names 1

Professional Name (2)Mrs. Emmanuelle Dickerson Aprn

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama.Insurance ›

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. Emmanuell Dickerson Aprn 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 ID547560831

PECOS Enrollment IDI20151118000333

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 Reassignments

Medicare enrollment records show Emmanuell Dickerson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emerald Coast Behavioral Hospital, LLC

0.5 mi

Psychiatric Hospital

1940 HARRISON AVENUE
Panama City, FL 32405

Reassigned Medicare billing, Florida enrollment
31 clinicians in this Medicare group

NPI 1578795332 (850) 763-0017

Copilotiq, PC

413 mi

Family Medicine

40 BURTON HILLS BLVD STE 200
Nashville, TN 37215

Reassigned Medicare billing, Florida enrollment
21 clinicians in this Medicare group

NPI 1316527203 (615) 380-4003

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 5

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

30 services30 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

30 services30 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

13 services12 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

12 services12 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307

A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32405 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

43%160 patients2/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

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