MRS. JAMIE POLING DICKERHOFF FNP-C
NPI 1386970572
Nurse Practitioner - Family in Raeford, NC

Q: What is Jamie Dickerhoff's NPI number?

The NPI number for Jamie Dickerhoff is 1386970572. It was assigned to this individual provider in the NPPES registry on October 23, 2009.

Q: What is Jamie Dickerhoff's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jamie Dickerhoff was last updated on September 6, 2023. 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 October 23, 2009PECOS Enrolled

6322 FAYETTEVILLE RD, RAEFORD, NC 28376(910) 878-6700(910) 878-6705 Get Directions Write a Review

NPPES record last updated: September 6, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Mrs. Jamie Poling Dickerhoff Fnp-c NPPES

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

MRS. JAMIE POLING DICKERHOFF FNP-C (NPI 1386970572) is an individual family provider in Raeford, North Carolina, licensed in North Carolina (148570) and active in the NPI registry since October 2009. She is enrolled in Medicare PECOS and maintains a secondary practice location in Fayetteville.

NPPES Registry Identity

NPI1386970572

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. JAMIE POLING DICKERHOFFCredential: FNP-C

Location Address6322 FAYETTEVILLE RDRaeford, NC 28376-7979

Mailing Address6322 Fayetteville RdRaeford, NC 28376-7979 · (910) 878-6700 · Fax (910) 878-6705

Phone(910) 878-6700

Fax(910) 878-6705

Sole ProprietorNo

Enumeration DateOctober 23, 2009

Last NPPES UpdateSeptember 6, 2023

NPPES CertifiedSeptember 6, 2023

✔ NPI 1386970572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LF0000X

License✔ Licensed in NC · 148570

6322 FAYETTEVILLE RD, Raeford, NC 28376

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Secondary Practice Location 1

Location 1101 Robeson St, SUITE 410Fayetteville, NC 28301-5552 · Phone (910) 615-1880 · Fax (910) 321-6253

Other Identifiers 2

OtherP00887113NC · Railroad Medicare

Medicaid7000634NC

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Jamie Poling Dickerhoff Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Jamie Dickerhoff reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mcpc-16, LLC

0.3 mi

Family Medicine

6322 FAYETTEVILLE RD
Raeford, NC 28376

Reassigned Medicare billing, North Carolina enrollment
23 clinicians in this Medicare group

NPI 1114351095 (910) 878-6700

Fayetteville Area Health Education Foundation Inc

13 mi

Family Medicine

1601 OWEN DR
Fayetteville, NC 28304

Reassigned Medicare billing, North Carolina enrollment
51 clinicians in this Medicare group

NPI 1811072812 (910) 678-0100

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 8

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 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.

329 services168 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

110 services110 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

24 services23 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

22 services22 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

21 services21 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28376 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

2 suppliers13 claims13 services$5.04 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

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

LINDA K. HUGHES M.D.

Family Medicine