ANDREA LYNN DICKSON NP
NPI 1558704445
Nurse Practitioner - Acute Care in South Bend, IN
About Andrea Lynn Dickson Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANDREA LYNN DICKSON NP (NPI 1558704445) is an individual acute care provider in South Bend, Indiana, licensed in Virginia (0024185491) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS, is affiliated with Miami Valley Hospital, and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Accepted Insurance
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
Andrea Lynn Dickson Np 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
7Medicare enrollment records show Andrea Dickson reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
South Bend, IN 46617
- Reassigned Medicare billing, Indiana enrollment
- 211 clinicians in this Medicare group
Indianapolis, IN 46202
- Reassigned Medicare billing, Indiana enrollment
- 45 clinicians in this Medicare group
Troy, OH 45373
- Reassigned Medicare billing, Ohio enrollment
- 812 clinicians in this Medicare group
Columbus, OH 43214
- Reassigned Medicare billing, Ohio enrollment
- 3,314 clinicians in this Medicare group
Tazewell, VA 24651
- Reassigned Medicare billing, Virginia enrollment
- 608 clinicians in this Medicare group
Roanoke, VA 24011
- Reassigned Medicare billing, Virginia enrollment
- 956 clinicians in this Medicare group
Norfolk, VA 23502
- Reassigned Medicare billing, Virginia enrollment
- 1,901 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Miami Valley Hospital
Acute Care Hospitals · Dayton, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46617 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.
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.
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 Andrea Dickson's NPI number?
The NPI number for Andrea Dickson is 1558704445. It was assigned to this individual provider in the NPPES registry on April 10, 2013. The provider is also known as Andrea Lynn Whitmer Np.
Where is Andrea Dickson located?
Andrea Dickson practices at 211 N Eddy St Null, South Bend, IN 46617. The listed phone number is (574) 234-8161.
What is Andrea Dickson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Andrea Dickson enrolled in Medicare?
Yes. Andrea Dickson 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 Andrea Dickson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Dickson reassigns Medicare benefits to 7 organizations: The South Bend Clinic, LLC (South Bend, IN), My Mobile MD LLC (Indianapolis, IN), Premier Health Specialists Inc (Troy, OH), Ohiohealth Corporation (Columbus, OH), Carilion Giles Community Hospital (Tazewell, VA) and 2 more organizations, listed in the Medicare section above. 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 Andrea Dickson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Andrea Dickson accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Antidote Health of TX and 1 other insurer list Andrea Dickson 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.
Is Andrea Dickson affiliated with any hospitals?
According to CMS data, Andrea Dickson is affiliated with Miami Valley Hospital.
When was this NPI record last updated?
The NPPES record for Andrea Dickson was last updated on August 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Andrea Lynn Dickson, NP · NPI 1558704445
Acute Care physician in South Bend, Indiana. Individual provider, active in the CMS NPPES registry since April 10, 2013.
## Identity
- **NPI:** 1558704445 (Entity type: Individual)
- **Enumerated:** April 10, 2013
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 0024185491 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 211 N EDDY ST, NULL, South Bend, IN 46617-2808
- **Phone:** (574) 234-8161
## 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:** 7 organizations under Medicare reassignment (form CMS-855R): The South Bend Clinic, LLC (NPI 1487307492, South Bend, IN); My Mobile MD LLC (NPI 1225495716, Indianapolis, IN); Premier Health Specialists Inc (NPI 1619135548, Troy, OH); Ohiohealth Corporation (NPI 1194979526, Columbus, OH); Carilion Giles Community Hospital (NPI 1437776556, Tazewell, VA); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** August 8, 2026
- **Other identifiers:** Medicaid 201162780 (IN)
---
Source: [NPI Profile](https://npiprofile.com/npi/1558704445) · Data from the CMS NPPES public registry.