JEANNE MARIE DYCKMAN AGACNP-BC
NPI 1487270971
Nurse Practitioner - Acute Care in Fort Myers, FL
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
Specialties & Licenses 2
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
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.
Medicare Billing Reassignments
4Medicare enrollment records show Jeanne Dyckman reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fort Myers, FL 33919
- Reassigned Medicare billing, Florida enrollment
- 14 clinicians in this Medicare group
St Petersburg, FL 33709
- Reassigned Medicare billing, Florida enrollment
- 24 clinicians in this Medicare group
St Petersburg, FL 33709
- Reassigned Medicare billing, Florida enrollment
- 18 clinicians in this Medicare group
Silver Spring, MD 20910
- Reassigned Medicare billing, Virginia enrollment
- 99 clinicians in this Medicare group
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 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.
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.
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.
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.
Which organizations bill Medicare for Jeanne Dyckman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jeanne Dyckman reassigns Medicare benefits to 4 organizations: Vein Specialists At Royal Palm Square Inc (Fort Myers, FL), Heal Precisely Of Northside LLC (St Petersburg, FL), Wound Care Physicians Of Tampa Bay LLC (St Petersburg, FL) and Consonant Healing Medical Associates (Silver Spring, MD). 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 Jeanne Dyckman'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 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.
# Jeanne Marie Dyckman, AGACNP-BC · NPI 1487270971
Acute Care physician in Fort Myers, Florida. Individual provider, active in the CMS NPPES registry since June 19, 2020.
## Identity
- **NPI:** 1487270971 (Entity type: Individual)
- **Enumerated:** June 19, 2020
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** APRN11008805 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 12471 MCGREGOR BLVD APT 9, Fort Myers, FL 33919-3155
- **Phone:** (239) 213-8610
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Vein Specialists At Royal Palm Square Inc (NPI 1124205349, Fort Myers, FL); Heal Precisely Of Northside LLC (NPI 1093433674, St Petersburg, FL); Wound Care Physicians Of Tampa Bay LLC (NPI 1245056522, St Petersburg, FL); Consonant Healing Medical Associates (NPI 1588122535, Silver Spring, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** May 18, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1487270971) · Data from the CMS NPPES public registry.