DICKSON MEDICAL CLINIC PLLC
NPI 1497021547
Family Medicine in Lynden, WA
About Dickson Medical Clinic Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DICKSON MEDICAL CLINIC PLLC (NPI 1497021547) is a healthcare organization registered as a family medicine in Lynden, Washington and active in the NPI registry since March 2012. The organization holds a CLIA Microscopy certificate valid through April 4, 2028 and lists Caitlin Honcoop, Deputy Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dickson Medical Clinic Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Dickson Medical Clinic PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate for Provider-Performed Microscopy Procedures (PPMP) 50D0976839
Dickson Medical Clinic · Lynden, WAFrequently 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 Dickson Medical Clinic PLLC's NPI number?
The NPI number for Dickson Medical Clinic PLLC is 1497021547. It was assigned to this organization in the NPPES registry on March 22, 2012.
Where is Dickson Medical Clinic PLLC located?
Dickson Medical Clinic PLLC is located at 500 Front St, Lynden, WA 98264. The listed phone number is (360) 354-4200.
What is Dickson Medical Clinic PLLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Dickson Medical Clinic PLLC enrolled in Medicare?
Yes. Dickson Medical Clinic PLLC is registered in the Medicare PECOS enrollment system.
When is Dickson Medical Clinic PLLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Washington, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Dickson Medical Clinic PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Dickson Medical Clinic PLLC, in Family Practice and Nurse Practitioner. A 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 the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Dickson Medical Clinic PLLC hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 50D0976839) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Dickson Medical Clinic PLLC accept?
Health plans from Premera Blue Cross Blue Shield of Alaska list Dickson Medical Clinic PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Dickson Medical Clinic PLLC was last updated on March 22, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Dickson Medical Clinic Pllc · NPI 1497021547
Family Medicine organization in Lynden, Washington. Organization record, active in the CMS NPPES registry since March 22, 2012.
## Identity
- **NPI:** 1497021547 (Entity type: Organization)
- **Enumerated:** March 22, 2012
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Caitlin Honcoop, DEPUTY OFFICE MANAGER
## Practice location
- **Address:** 500 FRONT ST, Lynden, WA 98264-1923
- **Phone:** (360) 354-4200 · **Fax:** (360) 318-0741
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, Washington, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), Nurse Practitioner (1); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 22, 2012
- **Other identifiers:** Medicare UPIN C34609 (WA); Medicaid 8214876 (WA); Medicare PIN GAB25307 (WA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1497021547) · Data from the CMS NPPES public registry.