EMILY CLAIRE DICKINSON PA
NPI 1780418400
Physician Assistant - Surgical in Saint Joseph, MI

Active since August 27, 2024PECOS EnrolledAccepts Medicare Assignment
1234 NAPIER AVE, SAINT JOSEPH, MI 49085(269) 556-1990 Get Directions Write a Review

NPPES record last updated: December 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Emily Claire Dickinson Pa NPPES

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

EMILY CLAIRE DICKINSON PA (NPI 1780418400) is an individual surgical provider in Saint Joseph, Michigan, licensed in Michigan (5601012689) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS, is affiliated with Lakeland Hospital, St Joseph, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1780418400
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameEMILY CLAIRE DICKINSONCredential: PA
Location Address1234 NAPIER AVESaint Joseph, MI 49085-2112
Mailing Address2715 Willa DrSaint Joseph, MI 49085-2542 · (248) 361-7474
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 27, 2024
Last NPPES UpdateDecember 30, 2024
NPPES CertifiedDecember 30, 2024
NPI 1780418400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in MI · 5601012689
Also ListedPhysician AssistantTaxonomy 363A00000X · License 5601012689 (MI)
1234 NAPIER AVE, Saint Joseph, MI 49085

Other Names 1

Former Name (1)Emily Claire Mannisto

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Emily Claire Dickinson Pa 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.

PECOS PAC ID7810420080
PECOS Enrollment IDI20241025002179
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lakeland Hospital, St Joseph

Acute Care Hospitals · St Joseph, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230021
Location1234 Napier AvenueSt Joseph, MI 49085 · Berrien County
Emergency services Birthing friendly

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.

Internal Medicine
1234 NAPIER AVE
SAINT JOSEPH, MI 49085
Pediatrics
1234 NAPIER AVE
SAINT JOSEPH, MI 49085
Occupational Therapist
1234 NAPIER AVE
SAINT JOSEPH, MI 49085
Pediatrics
1234 NAPIER AVE
SAINT JOSEPH, MI 49085
Radiology (Diagnostic Radiology)
1234 NAPIER AVE
ST JOSEPH, MI 49085
Anesthesiology
1234 NAPIER AVE
SAINT JOSEPH, MI 49085
Anesthesiology
1234 NAPIER AVE
SAINT JOSEPH, MI 49085
Emergency Medicine
1234 NAPIER AVE, LAKELAND REGIONAL MEDICAL CENTER
SAINT JOSEPH, MI 49085

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 Emily Dickinson's NPI number?

The NPI number for Emily Dickinson is 1780418400. It was assigned to this individual provider in the NPPES registry on August 27, 2024. The provider is also known as Emily Claire Mannisto.

Where is Emily Dickinson located?

Emily Dickinson practices at 1234 Napier Ave, Saint Joseph, MI 49085. The listed phone number is (269) 556-1990.

What is Emily Dickinson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Emily Dickinson enrolled in Medicare?

Yes. Emily Dickinson 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.

What insurance does Emily Dickinson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Emily Dickinson 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.

Is Emily Dickinson affiliated with any hospitals?

According to CMS data, Emily Dickinson is affiliated with Lakeland Hospital, St Joseph.

When was this NPI record last updated?

The NPPES record for Emily Dickinson was last updated on December 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.