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TANNER WILLIAM DIXON FNP-C
NPI 1407644875
Nurse Practitioner - Family in Hoboken, NJ

Active since April 28, 2025PECOS EnrolledAccepts Medicare Assignment
1025 MAXWELL LN APT 417, HOBOKEN, NJ 07030(908) 442-6660 Get Directions Write a Review

NPPES record last updated: April 28, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Tanner William Dixon Fnp-c NPPES

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

TANNER WILLIAM DIXON FNP-C (NPI 1407644875) is an individual family provider in Hoboken, New Jersey, licensed in New Jersey (26NJ15306800) and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1407644875
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameTANNER WILLIAM DIXONCredential: FNP-C
Location Address1025 MAXWELL LN APT 417Hoboken, NJ 07030-6824
Mailing Address1025 Maxwell Ln Apt 417Hoboken, NJ 07030-6824 · (908) 442-6660
Phone(908) 442-6660
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateApril 28, 2025
NPPES CertifiedApril 27, 2025
✔ NPI 1407644875 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 NJ · 26NJ15306800✔ Licensed in NY · 356513
1025 MAXWELL LN APT 417, Hoboken, NJ 07030
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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

Tanner William Dixon Fnp-c 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 ID7113420290
PECOS Enrollment IDI20250912004404
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

3

Medicare enrollment records show Tanner Dixon reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Msk Bergen
21 mi
Medical Oncology
225 SUMMIT AVE
Montvale, NJ 07645
  • Reassigned Medicare billing, New Jersey enrollment
  • 401 clinicians in this Medicare group
NPI 1558814657 (908) 542-3336
Msk Monmouth
27 mi
Medical Oncology
480 RED HILL RD
Middletown, NJ 07748
  • Reassigned Medicare billing, New Jersey enrollment
  • 464 clinicians in this Medicare group
NPI 1922459163 (908) 542-3007
Memorial Sloan Kettering Cancer Center At Basking Ridge New Jersey
30 mi
Medical Oncology
136 MOUNTAIN VIEW BLVD
Basking Ridge, NJ 07920
  • Reassigned Medicare billing, New Jersey enrollment
  • 385 clinicians in this Medicare group
NPI 1184637886 (908) 542-3000

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 07030 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

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 Tanner Dixon's NPI number?

The NPI number for Tanner Dixon is 1407644875. It was assigned to this individual provider in the NPPES registry on April 28, 2025.

Where is Tanner Dixon located?

Tanner Dixon practices at 1025 Maxwell Ln Apt 417, Hoboken, NJ 07030. The listed phone number is (908) 442-6660.

What is Tanner Dixon's specialty?

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

Is Tanner Dixon enrolled in Medicare?

Yes. Tanner Dixon 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 Tanner Dixon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tanner Dixon reassigns Medicare benefits to 3 organizations: Msk Bergen (Montvale, NJ), Msk Monmouth (Middletown, NJ) and Memorial Sloan Kettering Cancer Center At Basking Ridge New Jersey (Basking Ridge, NJ). 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 Tanner Dixon'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 Tanner Dixon was last updated on April 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.