ANISSA ELIZABETH DICKERSON CNM
NPI 1821351404
Advanced Practice Midwife in Boston, MA

Active since June 19, 2012PECOS EnrolledAccepts Medicare Assignment
850 HARRISON AVE, YACC 5, BOSTON, MA 02118(617) 414-2080(617) 414-2090 Get Directions Write a Review

NPPES record last updated: November 18, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 18, 2016, Nov 10, 2016, Nov 1, 2016 (3 updates tracked since 2016).

About Anissa Elizabeth Dickerson Cnm NPPES

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

ANISSA ELIZABETH DICKERSON CNM (NPI 1821351404) is an individual advanced practice midwife in Boston, Massachusetts, licensed in Massachusetts (2278970) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1821351404
Entity TypeIndividualFemale
Primary Taxonomy367A00000X
Provider Legal NameANISSA ELIZABETH DICKERSONCredential: CNM
Location Address850 HARRISON AVE, YACC 5Boston, MA 02118-4001
Mailing Address720 Harrison Ave, Dob 503Boston, MA 02118-2371
Fax(617) 414-2090
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJune 19, 2012
Last NPPES UpdateNovember 18, 20163 updates tracked since enumeration
NPI 1821351404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367A00000X
License Licensed in MA · 2278970
Definition
Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.
850 HARRISON AVE, Boston, MA 02118

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

Anissa Elizabeth Dickerson Cnm 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 ID4587811054
PECOS Enrollment IDI20120906000252
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02118 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Obstetrics & Gynecology
850 HARRISON AVE, YACC 4
BOSTON, MA 02118
Family Medicine
850 HARRISON AVE, YACC 5
BOSTON, MA 02118
Pediatrics
850 HARRISON AVE, YACC5
BOSTON, MA 02118
Family Medicine
850 HARRISON AVE, YACC 4
BOSTON, MA 02118
Social Worker (Clinical)
850 HARRISON AVE, DOWLING 9
BOSTON, MA 02118
Psychiatry & Neurology (Psychiatry)
850 HARRISON AVE
BOSTON, MA 02118
Advanced Practice Midwife
850 HARRISON AVE, YAWKEY 4TH FLOOR
BOSTON, MA 02118
Registered Nurse
850 HARRISON AVE, DOWLING NORTH, SUITE 5108
BOSTON, MA 02118

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 Anissa Dickerson's NPI number?

The NPI number for Anissa Dickerson is 1821351404. It was assigned to this individual provider in the NPPES registry on June 19, 2012.

Where is Anissa Dickerson located?

Anissa Dickerson practices at 850 Harrison Ave Yacc 5, Boston, MA 02118. The listed phone number is (617) 414-2080.

What is Anissa Dickerson's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Is Anissa Dickerson enrolled in Medicare?

Yes. Anissa Dickerson 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 Anissa Dickerson accept?

Health plans from Anthem Blue Cross and Blue Shield list Anissa 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 Anissa Dickerson was last updated on November 18, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.