AUDREY A. DICKERSON PA-C
NPI 1902258866
Physician Assistant in Indianapolis, IN

Q: What is Audrey Dickerson's NPI number?

The NPI number for Audrey Dickerson is 1902258866. It was assigned to this individual provider in the NPPES registry on July 5, 2016.

Q: What is Audrey Dickerson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Audrey Dickerson was last updated on June 2, 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.

Active since July 05, 2016PECOS EnrolledAccepts Medicare Assignment

401 E 34TH ST, INDIANAPOLIS, IN 46205(317) 926-1507(317) 926-1508 Get Directions Write a Review

NPPES record last updated: June 2, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jun 2, 2023, Sep 7, 2018 (2 updates tracked since 2018).

On this page

About Audrey A. Dickerson Pa-c NPPES

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

AUDREY A. DICKERSON PA-C (NPI 1902258866) is an individual physician assistant in Indianapolis, Indiana, licensed in Indiana (10002041A) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS, is affiliated with Indiana University Health, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1902258866

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameAUDREY A. DICKERSONCredential: PA-C

Location Address401 E 34TH STIndianapolis, IN 46205-3754

Mailing Address401 E 34th StIndianapolis, IN 46205-3754 · (317) 926-1507 · Fax (317) 926-1508

Phone(317) 926-1507

Fax(317) 926-1508

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateJuly 5, 2016

Last NPPES UpdateJune 2, 20232 updates tracked since enumeration

NPPES CertifiedJune 2, 2023

✔ NPI 1902258866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in IN · 10002041A

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

401 E 34TH ST, Indianapolis, IN 46205

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Audrey A. Dickerson Pa-c 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 ID6608168539

PECOS Enrollment IDI20160713000468

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.

Indiana University Health

Acute Care Hospitals · Indianapolis, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150056

Location1701 N Senate BlvdIndianapolis, IN 46202 · Marion County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46205 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier46 claims46 services$5.29 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

TIFFANY MARIE NAPIER FNP-C

Nurse Practitioner (Primary Care)