DR. SAMUEL DAVID DICKINSON DNP, RN, PMHNP-BC
NPI 1538935598
Nurse Practitioner - Psychiatric/Mental Health in Jackson, MS
About Dr. Samuel David Dickinson Dnp, Rn, Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SAMUEL DAVID DICKINSON DNP, RN, PMHNP-BC (NPI 1538935598) is an individual psychiatric/mental health provider in Jackson, Mississippi, licensed in Mississippi (906157) and active in the NPI registry since November 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
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
Dr. Samuel David Dickinson Dnp, Rn, Pmhnp-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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 39216 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
JACKSON, MS 39216
JACKSON, MS 39216
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 Samuel Dickinson's NPI number?
The NPI number for Samuel Dickinson is 1538935598. It was assigned to this individual provider in the NPPES registry on November 30, 2023.
Where is Samuel Dickinson located?
Samuel Dickinson practices at 2500 N State St, Jackson, MS 39216. The listed phone number is (601) 984-6243.
What is Samuel Dickinson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Samuel Dickinson enrolled in Medicare?
Yes. Samuel Dickinson 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 Samuel Dickinson was last updated on November 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dr. Samuel David Dickinson, DNP, RN, PMHNP-BC · NPI 1538935598
Psychiatric/Mental Health physician in Jackson, Mississippi. Individual provider, active in the CMS NPPES registry since November 30, 2023.
## Identity
- **NPI:** 1538935598 (Entity type: Individual)
- **Enumerated:** November 30, 2023
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 906157 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 2500 N STATE ST, Jackson, MS 39216-4500
- **Phone:** (601) 984-6243
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** November 30, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1538935598) · Data from the CMS NPPES public registry.