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AMANDA L. DICKERSON APRN
NPI 1396031464
Nurse Practitioner - Family in Las Vegas, NV

Active since June 27, 2011PECOS EnrolledAccepts Medicare Assignment
4475 S EASTERN AVE, LAS VEGAS, NV 89119(702) 877-5199 Get Directions Write a Review

NPPES record last updated: November 8, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 8, 2018, Feb 29, 2016 (2 updates tracked since 2016).

About Amanda L. Dickerson Aprn NPPES

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

AMANDA L. DICKERSON APRN (NPI 1396031464) is an individual family provider in Las Vegas, Nevada, licensed in Nevada (813074) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS, maintains a secondary practice location in Markesan, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1396031464
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameAMANDA L. DICKERSONCredential: APRN
Location Address4475 S EASTERN AVELas Vegas, NV 89119
Mailing AddressPo Box 35380Las Vegas, NV 89133-5380 · (702) 877-5199
Phone(702) 877-5199
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJune 27, 2011
Last NPPES UpdateNovember 8, 20182 updates tracked since enumeration
✔ NPI 1396031464 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
Licenses✔ Licensed in NV · 813074✔ Licensed in WI · 4426-33
4475 S EASTERN AVE, Las Vegas, NV 89119
Open in Google Maps ↗

Secondary Practice Location 1

Location 1730 N Margaret StMarkesan, WI 53946-0220 · Phone (920) 398-2406

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

Amanda L. 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 ID9133397763
PECOS Enrollment IDI20181128001455
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

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.
37 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89119 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
$88.51 typical visit price
range $57.07 – $173.24
Typical copayment $22.12 (range $14.26 – $43.31)
Most-billed visit code 99203
Established Patient
$100.60 typical visit price
range $18.27 – $140.96
Typical copayment $25.15 (range $4.56 – $35.24)
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.

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.

JACOB SKINNER M.D.
Obstetrics & Gynecology
4475 S EASTERN AVE
LAS VEGAS, NV 89119
Clark County (702) 737-1880
JACOB A PARKS PA
Physician Assistant
4475 S EASTERN AVE
LAS VEGAS, NV 89119
Clark County (702) 877-5199
DR. RIONA ORDINADO FUJINAGA PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
4475 S EASTERN AVE, ADULT MEDICINE- POST DISCHARGE CLINIC
LAS VEGAS, NV 89119
Clark County (702) 669-5947
KWEKU R HUTCHFUL MD
Pediatrics
4475 S EASTERN AVE
LAS VEGAS, NV 89119
Clark County (702) 669-5944
CONCEPCION REYES SINGSON MD
Internal Medicine
4475 S EASTERN AVE
LAS VEGAS, NV 89119
Clark County (702) 669-5811
PAULINE MARIE HEUSER PA-C
Physician Assistant
4475 S EASTERN AVE
LAS VEGAS, NV 89119
Clark County (702) 877-5199
SHEEBA SAJI KUREEKATTIL APRN
Nurse Practitioner
4475 S EASTERN AVE
LAS VEGAS, NV 89119
Clark County (702) 877-5119
IAN WENG LAM
Family Medicine
4475 S EASTERN AVE
LAS VEGAS, NV 89119
Clark County (702) 877-5199

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 Amanda Dickerson's NPI number?

The NPI number for Amanda Dickerson is 1396031464. It was assigned to this individual provider in the NPPES registry on June 27, 2011.

Where is Amanda Dickerson located?

Amanda Dickerson practices at 4475 S Eastern Ave, Las Vegas, NV 89119. The listed phone number is (702) 877-5199.

What is Amanda Dickerson's specialty?

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

Is Amanda Dickerson enrolled in Medicare?

Yes. Amanda Dickerson 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.

When was this NPI record last updated?

The NPPES record for Amanda Dickerson was last updated on November 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.