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KAREN DICKERSON PA-C
NPI 1760597462
Physician Assistant - Medical in Pocatello, ID

Active since August 20, 2006PECOS Enrolled
1352 E CENTER ST, POCATELLO, ID 83201(208) 234-2001(208) 232-2195 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Karen Dickerson Pa-c NPPES

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

KAREN DICKERSON PA-C (NPI 1760597462) is an individual medical provider in Pocatello, Idaho, licensed in Idaho (PA566) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760597462
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKAREN DICKERSONCredential: PA-C
Location Address1352 E CENTER STPocatello, ID 83201-4734
Mailing AddressPo Box OPocatello, ID 83205-0049 · (208) 234-2001 · Fax (208) 232-2195
Phone(208) 234-2001
Fax(208) 232-2195
Sole ProprietorNo
Enumeration DateAugust 20, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1760597462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in ID · PA566
1352 E CENTER ST, Pocatello, ID 83201
Open in Google Maps ↗

Other Identifiers 3

Medicare ID-Type Unspecified1667215ID · Cigna Medicare
Medicare UPINQ56435ID
Medicaid8073207000ID

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan, Select Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Karen Dickerson Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 2

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

ZOE INTERVENTIONAL PAIN MANAGEMENT
Non-Pharmacy Dispensing Site
1352 E CENTER ST, SUITE A
POCATELLO, ID 83201
Bannock County (208) 234-2345
NEW HORIZONS MENTAL WELLNESS CLINICS PLLC
Registered Nurse (Case Management)
1352 E CENTER ST, SUITE A
POCATELLO, ID 83201
Bannock County (208) 233-2025

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 Karen Dickerson's NPI number?

The NPI number for Karen Dickerson is 1760597462. It was assigned to this individual provider in the NPPES registry on August 20, 2006.

Where is Karen Dickerson located?

Karen Dickerson practices at 1352 E Center St, Pocatello, ID 83201. The listed phone number is (208) 234-2001.

What is Karen Dickerson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Karen Dickerson enrolled in Medicare?

Yes. Karen Dickerson is registered in the Medicare PECOS enrollment system.

What insurance does Karen Dickerson accept?

Health plans from Providence Health Plan and Select Health list Karen 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 Karen Dickerson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.