KAYLA NICOLE DICKERSON
NPI 1710792874
Nurse Practitioner - Family in Mathiston, MS
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
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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Kayla Dickerson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Mathiston, MS 39752
- Reassigned Medicare billing, Mississippi enrollment
- 12 clinicians in this Medicare group
Caledonia, MS 39740
- Reassigned Medicare billing, Mississippi enrollment
- 8 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.
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.
Other Providers at the Same Location NPPES
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 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.
Which organizations bill Medicare for Kayla Dickerson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kayla Dickerson reassigns Medicare benefits to 2 organizations: Webster Urgent Care LLC (Mathiston, MS) and Webster Urgent Care Caledonia LLC (Caledonia, MS). 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 Kayla Dickerson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kayla Dickerson accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, 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 19 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.
# Kayla Nicole Dickerson · NPI 1710792874
Family physician in Mathiston, Mississippi. Individual provider, active in the CMS NPPES registry since February 7, 2025.
## Identity
- **NPI:** 1710792874 (Entity type: Individual)
- **Enumerated:** February 7, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 907244 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 24978 MS HIGHWAY 15, Mathiston, MS 39752-6904
- **Phone:** (662) 634-3089 · **Fax:** (662) 634-3063
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Webster Urgent Care LLC (NPI 1689197774, Mathiston, MS); Webster Urgent Care Caledonia LLC (NPI 1912893322, Caledonia, MS) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** March 4, 2025
- **Other identifiers:** Other 907244 (MS)
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Source: [NPI Profile](https://npiprofile.com/npi/1710792874) · Data from the CMS NPPES public registry.