1. Home
  2. Directory
  3. Texas
  4. San Antonio
  5. Nurse Practitioner
  6. NPI Profile

MR. JEFFRY ALAN DICKERSON FNP
NPI 1699070144
Nurse Practitioner in San Antonio, TX

Active since January 13, 2011PECOS Enrolled
3903 WISEMAN BLVD, STE 311, SAN ANTONIO, TX 78251(210) 615-1901(210) 615-1905 Get Directions Write a Review

NPPES record last updated: June 14, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 14, 2021, Jun 13, 2017 (2 updates tracked since 2017).

About Mr. Jeffry Alan Dickerson Fnp NPPES

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

MR. JEFFRY ALAN DICKERSON FNP (NPI 1699070144) is an individual nurse practitioner in San Antonio, Texas, licensed in Texas (AP118266) and active in the NPI registry since January 2011. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1699070144
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMR. JEFFRY ALAN DICKERSONCredential: FNP
Location Address3903 WISEMAN BLVD, STE 311San Antonio, TX 78251-4422
Mailing AddressP.o. Box 117614Carrollton, TX 75011-4422 · (210) 615-1901 · Fax (210) 615-1905
Phone(210) 615-1901
Fax(210) 615-1905
Sole ProprietorNo
Enumeration DateJanuary 13, 2011
Last NPPES UpdateJune 14, 20212 updates tracked since enumeration
NPPES CertifiedJune 14, 2021
✔ NPI 1699070144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in TX · AP118266
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License AP118266 (TX)
3903 WISEMAN BLVD, STE 311, San Antonio, TX 78251
Open in Google Maps ↗

Secondary Practice Locations 2

Location 112602 Toepperwein Rd Ste 218Live Oak, TX 78233-3271 · Phone (210) 615-1901 · Fax (210) 615-1905
Location 23603 Paesanos Pkwy, Ste 205ASan Antonio, TX 78231-1227 · Phone (210) 615-1901 · Fax (210) 615-1905

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc., Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Jeffry Alan Dickerson Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Jeffry Dickerson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Spcsa PLLC
Same address
Pain Medicine
3903 WISEMAN BLVD STE 101
San Antonio, TX 78251
  • Reassigned Medicare billing, Texas enrollment
  • 6 clinicians in this Medicare group
NPI 1720008527 (210) 615-1901

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78251 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DENNIS EDWARD KARASEK M.D.
Pain Medicine (Interventional Pain Medicine)
3903 WISEMAN BLVD, STE 311
SAN ANTONIO, TX 78251
Bexar County (210) 615-1901

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 Jeffry Dickerson's NPI number?

The NPI number for Jeffry Dickerson is 1699070144. It was assigned to this individual provider in the NPPES registry on January 13, 2011.

Where is Jeffry Dickerson located?

Jeffry Dickerson practices at 3903 Wiseman Blvd, Ste 311, San Antonio, TX 78251. The listed phone number is (210) 615-1901.

What is Jeffry Dickerson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Jeffry Dickerson enrolled in Medicare?

Yes. Jeffry Dickerson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jeffry Dickerson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeffry Dickerson reassigns Medicare benefits to Spcsa PLLC (San Antonio, TX). The 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 Jeffry Dickerson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jeffry Dickerson accept?

Health plans from Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc., Oscar Insurance Company and WellPoint list Jeffry Dickerson 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 Jeffry Dickerson was last updated on June 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.