JEANNE MARIE DYCKMAN AGACNP-BC
NPI 1487270971
Nurse Practitioner - Acute Care in Fort Myers, FL

Active since June 19, 2020PECOS EnrolledAccepts Medicare Assignment
83.71/100
CMS Quality Rating
12471 MCGREGOR BLVD APT 9, FORT MYERS, FL 33919(239) 213-8610 Get Directions Write a Review

NPPES record last updated: May 18, 2022. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: May 18, 2022, Jun 19, 2020 (2 updates tracked since 2020).

About Jeanne Marie Dyckman Agacnp-bc NPPES

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

JEANNE MARIE DYCKMAN AGACNP-BC (NPI 1487270971) is an individual acute care provider in Fort Myers, Florida, licensed in Florida (APRN11008805) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1487270971
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameJEANNE MARIE DYCKMANCredential: AGACNP-BC
Location Address12471 MCGREGOR BLVD APT 9Fort Myers, FL 33919-3155
Mailing Address12471 Mcgregor Blvd Apt 9Fort Myers, FL 33919-3155 · (239) 213-8610
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJune 19, 2020
Last NPPES UpdateMay 18, 20222 updates tracked since enumeration
NPPES CertifiedMay 18, 2022
NPI 1487270971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in FL · APRN11008805
Also ListedRegistered NurseTaxonomy 163W00000X · License RN9272229 (FL)
12471 MCGREGOR BLVD APT 9, Fort Myers, FL 33919

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

Jeanne Marie Dyckman Agacnp-bc 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 ID4486043130
PECOS Enrollment IDI20230413001257
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 3

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.
340 services332 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
275 services275 patients
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.
181 services161 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33919 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

83.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost45.71

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 Jeanne Dyckman's NPI number?

The NPI number for Jeanne Dyckman is 1487270971. It was assigned to this individual provider in the NPPES registry on June 19, 2020.

Where is Jeanne Dyckman located?

Jeanne Dyckman practices at 12471 Mcgregor Blvd Apt 9, Fort Myers, FL 33919. The listed phone number is (239) 213-8610.

What is Jeanne Dyckman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Jeanne Dyckman enrolled in Medicare?

Yes. Jeanne Dyckman 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 Jeanne Dyckman was last updated on May 18, 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.