DUSTIN DUANE NICKERSON FNP-C
NPI 1760988224
Nurse Practitioner in Phoenix, AZ
About Dustin Duane Nickerson Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DUSTIN DUANE NICKERSON FNP-C (NPI 1760988224) is an individual nurse practitioner in Phoenix, Arizona, licensed in Arizona (AP11349) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, maintains a secondary practice location in Queen Creek, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 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
Dustin Duane Nickerson Fnp-c 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 Reassignment
Medicare enrollment records show Dustin Nickerson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Tempe, AZ 85284
- Reassigned Medicare billing, Arizona enrollment
- 117 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.
Areas of Expertise CMS Part B claims 18
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 85004 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 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PHOENIX, AZ 85004
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 Dustin Nickerson's NPI number?
The NPI number for Dustin Nickerson is 1760988224. It was assigned to this individual provider in the NPPES registry on April 3, 2018.
Where is Dustin Nickerson located?
Dustin Nickerson practices at 2610 N 3rd St, Phoenix, AZ 85004. The listed phone number is (480) 610-6100.
What is Dustin Nickerson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Dustin Nickerson enrolled in Medicare?
Yes. Dustin Nickerson 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 organization bills Medicare for Dustin Nickerson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dustin Nickerson reassigns Medicare benefits to Southwest Kidney Institute, Plc (Tempe, AZ). The 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 Dustin Nickerson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Dustin Nickerson accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc and Imperial Insurance Companies, Inc. and 1 other insurer list Dustin Nickerson 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 Dustin Nickerson was last updated on September 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.