MARY NOEL DICKERSON FNP
NPI 1790377018
Nurse Practitioner in Hattiesburg, MS
About Mary Noel Dickerson Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY NOEL DICKERSON FNP (NPI 1790377018) is an individual nurse practitioner in Hattiesburg, Mississippi, licensed in Mississippi (905670) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Hattiesburg.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Location 1
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 (PECOS)
Mary Noel Dickerson Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 39401 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HATTIESBURG, MS 39401
HATTIESBURG, MS 39401
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 Mary Dickerson's NPI number?
The NPI number for Mary Dickerson is 1790377018. It was assigned to this individual provider in the NPPES registry on February 8, 2021. The provider is also known as Mary Noel Anderson.
Where is Mary Dickerson located?
Mary Dickerson practices at 6051 U S Highway 49, Hattiesburg, MS 39401. The listed phone number is (601) 288-7000.
What is Mary Dickerson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Mary Dickerson enrolled in Medicare?
Yes. Mary Dickerson is registered in the Medicare PECOS enrollment system.
What insurance does Mary Dickerson accept?
Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Mary 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 Mary Dickerson was last updated on April 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Mary Noel Dickerson, FNP · NPI 1790377018
Nurse Practitioner physician in Hattiesburg, Mississippi. Individual provider, active in the CMS NPPES registry since February 8, 2021.
## Identity
- **NPI:** 1790377018 (Entity type: Individual)
- **Enumerated:** February 8, 2021
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 905670 (Mississippi)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 6051 U S HIGHWAY 49, Hattiesburg, MS 39401-7200
- **Phone:** (601) 288-7000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** April 19, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1790377018) · Data from the CMS NPPES public registry.