MRS. PANDORA BAZEN DICKSON
NPI 1578101747
Nurse Practitioner - Family in Champlin, MN
About Mrs. Pandora Bazen Dickson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. PANDORA BAZEN DICKSON (NPI 1578101747) is an individual family provider in Champlin, Minnesota, licensed in Minnesota (7270) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Pandora Bazen Dickson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55316 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 2
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 Pandora Dickson's NPI number?
The NPI number for Pandora Dickson is 1578101747. It was assigned to this individual provider in the NPPES registry on December 18, 2019.
Where is Pandora Dickson located?
Pandora Dickson practices at 7400 122nd Ave N, Champlin, MN 55316. The listed phone number is (763) 458-2415.
What is Pandora Dickson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Pandora Dickson enrolled in Medicare?
Yes. Pandora Dickson is registered in the Medicare PECOS enrollment system.
What insurance does Pandora Dickson accept?
Health plans from Medica list Pandora 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.
When was this NPI record last updated?
The NPPES record for Pandora Dickson was last updated on June 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Mrs. Pandora Bazen Dickson · NPI 1578101747
Family physician in Champlin, Minnesota. Individual provider, active in the CMS NPPES registry since December 18, 2019.
## Identity
- **NPI:** 1578101747 (Entity type: Individual)
- **Enumerated:** December 18, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 7270 (Minnesota)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 7400 122ND AVE N, Champlin, MN 55316-2127
- **Phone:** (763) 458-2415
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** June 14, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1578101747) · Data from the CMS NPPES public registry.