MILDRED SUE OFFICER DYER PA
NPI 1730183583
Physician Assistant in Cookeville, TN

Q: What is Mildred Dyer's NPI number?

The NPI number for Mildred Dyer is 1730183583. It was assigned to this individual provider in the NPPES registry on June 9, 2005.

Q: What is Mildred Dyer's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Mildred Dyer was last updated on February 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 June 09, 2005

135 W 3RD ST, COOKEVILLE, TN 38501(931) 526-2488(931) 526-6332 Get Directions Write a Review

NPPES record last updated: February 19, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mildred Sue Officer Dyer Pa NPPES

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

MILDRED SUE OFFICER DYER PA (NPI 1730183583) is an individual physician assistant in Cookeville, Tennessee, licensed in Tennessee (1199) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1730183583

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMILDRED SUE OFFICER DYERCredential: PA

Location Address135 W 3RD STCookeville, TN 38501-2478

Mailing Address135 W 3rd StCookeville, TN 38501-2478 · (931) 526-2488 · Fax (931) 526-6332

Phone(931) 526-2488

Fax(931) 526-6332

Sole ProprietorNo

Enumeration DateJune 9, 2005

Last NPPES UpdateFebruary 19, 2014

✔ NPI 1730183583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in TN · 1199

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

135 W 3RD ST, Cookeville, TN 38501

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Other Identifiers 2

Medicare UPINQ27855

Medicare ID-Type Unspecified3662780TN · Tn Medicare

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Breast Cancer Screening

Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer

47%124 patients3/55-star benchmark: 92%

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

18%239 patients1/55-star benchmark: 85%

Diabetes: Eye Exam

Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period

8%59 patients1/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 6

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

MRS. JENNIFER JEAN SCOTT R.N.

Registered Nurse