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

JANDOLYN A DIXON
NPI 1841159258
Nurse Practitioner - Family in South Holland, IL

Active since January 21, 2026PECOS Enrolled
15616 CHURCH DR, SOUTH HOLLAND, IL 60473(312) 722-2868 Get Directions Write a Review

NPPES record last updated: September 30, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 30, 2026, Jan 21, 2026 (2 updates tracked since 2026).

About Jandolyn A Dixon NPPES

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

JANDOLYN A DIXON (NPI 1841159258) is an individual family provider in South Holland, Illinois, licensed in Illinois (2025111795) and active in the NPI registry since January 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1841159258
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJANDOLYN A DIXON
Location Address15616 CHURCH DRSouth Holland, IL 60473-1537
Mailing Address15616 Church DrSouth Holland, IL 60473-1537
Phone(312) 722-2868
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateJanuary 21, 2026
Last NPPES UpdateSeptember 30, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2026
✔ NPI 1841159258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 2025111795
15616 CHURCH DR, South Holland, IL 60473
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jandolyn A Dixon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6608347919
PECOS Enrollment IDI20260608002965
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jandolyn Dixon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southside Primary Care Group Sc
10 mi
Internal Medicine
7531 S STONY ISLAND AVE, SUITE 164
Chicago, IL 60649
  • Reassigned Medicare billing, Illinois enrollment
  • 19 clinicians in this Medicare group
NPI 1417403072 (773) 947-2831
Midwest Post Acute Care Aco PLLC
23 mi
Nurse Practitioner
3000 N HALSTED ST STE 803
Chicago, IL 60657
  • Reassigned Medicare billing, Illinois enrollment
  • 34 clinicians in this Medicare group
NPI 1457926537 (888) 705-8722

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60473 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Jandolyn Dixon's NPI number?

The NPI number for Jandolyn Dixon is 1841159258. It was assigned to this individual provider in the NPPES registry on January 21, 2026.

Where is Jandolyn Dixon located?

Jandolyn Dixon practices at 15616 Church Dr, South Holland, IL 60473. The listed phone number is (312) 722-2868.

What is Jandolyn Dixon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jandolyn Dixon enrolled in Medicare?

Yes. Jandolyn Dixon is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jandolyn Dixon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jandolyn Dixon reassigns Medicare benefits to 2 organizations: Southside Primary Care Group Sc (Chicago, IL) and Midwest Post Acute Care Aco PLLC (Chicago, IL). Each 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 Jandolyn Dixon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jandolyn Dixon was last updated on September 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 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.