Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MRS. ABIGAIL COURTNEY DICKINSON MD
NPI 1780264762
Student in an Organized Health Care Education/Training Program in Las Vegas, NV

Q: What is Abigail Dickinson's NPI number?

The NPI number for Abigail Dickinson is 1780264762. It was assigned to this individual provider in the NPPES registry on April 13, 2021.

Q: What is Abigail Dickinson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Abigail Dickinson was last updated on August 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 34 days 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 April 13, 2021PECOS Enrolled

1800 W CHARLESTON BLVD, LAS VEGAS, NV 89102(248) 709-6529 Get Directions Write a Review

NPPES record last updated: August 25, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Aug 25, 2026, May 7, 2025, Apr 13, 2021 (3 updates tracked since 2021).

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About Mrs. Abigail Courtney Dickinson Md NPPES

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

MRS. ABIGAIL COURTNEY DICKINSON MD (NPI 1780264762) is an individual student in an organized health care education/training program in Las Vegas, Nevada, licensed in Nebraska (35667) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780264762

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameMRS. ABIGAIL COURTNEY DICKINSONCredential: MD

Location Address1800 W CHARLESTON BLVDLas Vegas, NV 89102-2329

Mailing Address4890 Bishop Ln NwRochester, MN 55901-3041 · (248) 709-6529

Phone(248) 709-6529

Sole ProprietorNo

Enumeration DateApril 13, 2021

Last NPPES UpdateAugust 25, 20263 updates tracked since enumeration

NPPES CertifiedAugust 25, 2026

✔ NPI 1780264762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in NE · 35667

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.

1800 W CHARLESTON BLVD, Las Vegas, NV 89102

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Abigail Courtney Dickinson Md 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 20

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

MICHAEL M LEE MD

Internal Medicine