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KAYLA NICOLE DICKERSON
NPI 1710792874
Nurse Practitioner - Family in Mathiston, MS

Active since February 07, 2025PECOS EnrolledAccepts Medicare Assignment
24978 MS HIGHWAY 15, MATHISTON, MS 39752(662) 634-3089(662) 634-3063 Get Directions Write a Review

NPPES record last updated: March 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 4, 2025, Feb 7, 2025 (2 updates tracked since 2025).

About Kayla Nicole Dickerson NPPES

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

KAYLA NICOLE DICKERSON (NPI 1710792874) is an individual family provider in Mathiston, Mississippi, licensed in Mississippi (907244) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1710792874
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKAYLA NICOLE DICKERSON
Location Address24978 MS HIGHWAY 15Mathiston, MS 39752-6904
Mailing Address24978 Ms Highway 15Mathiston, MS 39752-6904 · (662) 634-3089
Phone(662) 634-3089
Fax(662) 634-3063
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateFebruary 7, 2025
Last NPPES UpdateMarch 4, 20252 updates tracked since enumeration
NPPES CertifiedMarch 4, 2025
✔ NPI 1710792874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MS · 907244
24978 MS HIGHWAY 15, Mathiston, MS 39752
Open in Google Maps ↗

Other Names 1

Former Name (1)Kayla N Bingham

Other Identifiers 1

Other907244MS · State License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health 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

Kayla Nicole Dickerson 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 ID2264953199
PECOS Enrollment IDI20250310000017
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39752 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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.

KATHY JOHNSON NP
Nurse Practitioner (Family)
24978 MS HIGHWAY 15
MATHISTON, MS 39752
Webster County (662) 634-3089

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 Kayla Dickerson's NPI number?

The NPI number for Kayla Dickerson is 1710792874. It was assigned to this individual provider in the NPPES registry on February 7, 2025. The provider is also known as Kayla N Bingham.

Where is Kayla Dickerson located?

Kayla Dickerson practices at 24978 Ms Highway 15, Mathiston, MS 39752. The listed phone number is (662) 634-3089.

What is Kayla Dickerson's specialty?

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

Is Kayla Dickerson enrolled in Medicare?

Yes. Kayla Dickerson 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.

What insurance does Kayla Dickerson accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Kayla 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 Kayla Dickerson was last updated on March 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.