SANTANA SANDRA DICKERSON ARNP
NPI 1730992678
Student in an Organized Health Care Education/Training Program in Bellingham, WA

Active since January 27, 2025Opted out of Medicare · through Aug 4, 2027
4545 CORDATA PKWY, BELLINGHAM, WA 98226(360) 752-5165 Get Directions Write a Review

NPPES record last updated: January 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Santana Sandra Dickerson Arnp NPPES

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

SANTANA SANDRA DICKERSON ARNP (NPI 1730992678) is an individual student in an organized health care education/training program in Bellingham, Washington and active in the NPI registry since January 2025. She has opted out of Medicare through August 4, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1730992678
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSANTANA SANDRA DICKERSONCredential: ARNP
Location Address4545 CORDATA PKWYBellingham, WA 98226-7263
Mailing Address829 Spieden LnBellingham, WA 98229-6810 · (360) 961-4155
Sole ProprietorNo
Enumeration DateJanuary 27, 2025
NPPES CertifiedJanuary 15, 2025
NPI 1730992678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4545 CORDATA PKWY, Bellingham, WA 98226

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Santana Sandra Dickerson Arnp has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 4, 2025 through August 4, 2027.

Opt-Out Effective DateAugust 4, 2025
Opt-Out In Effect ThroughAugust 4, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner (Pediatrics, Critical Care)
4545 CORDATA PKWY, SUITE 1E
BELLINGHAM, WA 98226
Obstetrics & Gynecology (Gynecology)
4545 CORDATA PKWY
BELLINGHAM, WA 98226
Clinic/Center (Radiology)
4545 CORDATA PKWY
BELLINGHAM, WA 98226
Nurse Practitioner (Pediatrics)
4545 CORDATA PKWY
BELLINGHAM, WA 98226
Internal Medicine
4545 CORDATA PKWY, SUITE 2B
BELLINGHAM, WA 98226
Internal Medicine
4545 CORDATA PKWY
BELLINGHAM, WA 98226
Nurse Practitioner (Adult Health)
4545 CORDATA PKWY, SUITE 2A & 2B
BELLINGHAM, WA 98226
Nurse Practitioner (Obstetrics & Gynecology)
4545 CORDATA PKWY
BELLINGHAM, WA 98226

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 Santana Dickerson's NPI number?

The NPI number for Santana Dickerson is 1730992678. It was assigned to this individual provider in the NPPES registry on January 27, 2025.

Where is Santana Dickerson located?

Santana Dickerson practices at 4545 Cordata Pkwy, Bellingham, WA 98226. The listed phone number is (360) 752-5165.

What is Santana Dickerson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Santana Dickerson enrolled in Medicare?

No. Santana Dickerson has opted out of Medicare through August 4, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Santana Dickerson was last updated on January 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.