MICHELLE GOMEZ DICKERSON PMHNP
NPI 1720694029
Nurse Practitioner - Psychiatric/Mental Health in Meridian, MS

Q: What is Michelle Dickerson's NPI number?

The NPI number for Michelle Dickerson is 1720694029. It was assigned to this individual provider in the NPPES registry on September 22, 2020.

Q: What is Michelle Dickerson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since September 22, 2020PECOS EnrolledAccepts Medicare Assignment

1818 COLLEGE DRIVE, MERIDIAN, MS 39307(601) 581-7974 Get Directions Write a Review

NPPES record last updated: March 21, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 21, 2021, Mar 10, 2021, Sep 22, 2020 (3 updates tracked since 2020).

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About Michelle Gomez Dickerson Pmhnp NPPES

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

MICHELLE GOMEZ DICKERSON PMHNP (NPI 1720694029) is an individual psychiatric/mental health provider in Meridian, Mississippi, licensed in Mississippi (904508) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1720694029

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMICHELLE GOMEZ DICKERSONCredential: PMHNP

Location Address1818 COLLEGE DRIVEMeridian, MS 39307

Mailing AddressPo Box 4128Meridian, MS 39304-4128

Phone(601) 581-7974

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateSeptember 22, 2020

Last NPPES UpdateMarch 21, 20213 updates tracked since enumeration

NPPES CertifiedMarch 21, 2021

✔ NPI 1720694029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in MS · 904508

Also ListedRegistered NurseTaxonomy 163W00000X · License 876648 (MS)

1818 COLLEGE DRIVE, Meridian, MS 39307

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Oscar Health Plan, Inc., UnitedHealthcare.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

Michelle Gomez Dickerson Pmhnp 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 ID3476997560

PECOS Enrollment IDI20240216001070

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 39307 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.

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Other Providers at the Same Location NPPES 19

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

MRS. LYDIA ELLIS WEISSER D.O.

Psychiatric Hospital