MICHELE NETH DICKSON ARNP
NPI 1619957990
Nurse Practitioner - Family in Tigard, OR

Q: What is Michele Dickson's NPI number?

The NPI number for Michele Dickson is 1619957990. It was assigned to this individual provider in the NPPES registry on January 20, 2006.

Q: What is Michele Dickson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Michele Dickson was last updated on July 17, 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.

Active since January 20, 2006PECOS EnrolledAccepts Medicare Assignment

12123 SW 69TH AVE, TIGARD, OR 97223(971) 708-7600(971) 371-5230 Get Directions Write a Review

NPPES record last updated: July 17, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Michele Neth Dickson Arnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHELE NETH DICKSON ARNP (NPI 1619957990) is an individual family provider in Tigard, Oregon, licensed in Oregon (MD0118364) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, is affiliated with Providence St Vincent Medical Center, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1619957990

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMICHELE NETH DICKSONCredential: ARNP

Location Address12123 SW 69TH AVETigard, OR 97223-8514

Mailing Address1498 Se Tech Center Pl Ste 240Vancouver, WA 98683-5508

Phone(971) 708-7600

Fax(971) 371-5230

Sole ProprietorNo

Medical School CMSOtherGraduated 1988

Enumeration DateJanuary 20, 2006

Last NPPES UpdateJuly 17, 2023

NPPES CertifiedJuly 17, 2023

✔ NPI 1619957990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in OR · MD0118364

Also ListedRegistered NurseTaxonomy 163W00000X · License RN00105798 (WA)

Also ListedNurse Practitioner · Women's HealthTaxonomy 363LW0102X · License AP30003195 (WA)

12123 SW 69TH AVE, Tigard, OR 97223

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Other Identifiers 2

Other500018475WA · Medicare Rr

Medicaid9609454WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.Insurance ›

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

Michele Neth Dickson Arnp 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.

PECOS PAC ID9830121110

PECOS Enrollment IDI20050907001040, I20110118000998

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

33 services24 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

23 services20 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Providence St Vincent Medical Center

Acute Care Hospitals · Portland, OR

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number380004

Location9205 SW Barnes RoadPortland, OR 97225 · Washington County

Emergency services Birthing friendly

Legacy Meridian Park Medical Center

Acute Care Hospitals · Tualatin, OR

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number380089

Location19300 SW 65th AvenueTualatin, OR 97062 · Washington County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97223 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$90.51 typical visit price

range $58.99 – $176.88

Typical copayment $22.62 (range $14.74 – $44.22)

Most-billed visit code 99203

Established Patient

$103.51 typical visit price

range $19.32 – $144.79

Typical copayment $25.87 (range $4.83 – $36.19)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

KRISTEN TERVO PT

Physical Therapist