MS. SARA MARIE DICKEN PA-C
NPI 1942297197
Physician Assistant - Medical in Lebanon, TN

Active since October 03, 2005PECOS EnrolledAccepts Medicare Assignment
6650 EASTGATE BLVD STE 104, LEBANON, TN 37090(615) 453-9492(615) 453-9498 Get Directions Write a Review

NPPES record last updated: January 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 21, 2022, Jun 13, 2019, Nov 9, 2017 (3 updates tracked since 2017).

About Ms. Sara Marie Dicken Pa-c NPPES

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

MS. SARA MARIE DICKEN PA-C (NPI 1942297197) is an individual medical provider in Lebanon, Tennessee, licensed in Tennessee (PA2842) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1942297197
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMS. SARA MARIE DICKENCredential: PA-C
Location Address6650 EASTGATE BLVD STE 104Lebanon, TN 37090-6018
Mailing Address6650 Eastgate Blvd Ste 104Lebanon, TN 37090-6018 · (615) 900-5451 · Fax (615) 900-5440
Fax(615) 453-9498
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateOctober 3, 2005
Last NPPES UpdateJanuary 21, 20223 updates tracked since enumeration
NPPES CertifiedJanuary 21, 2022
NPI 1942297197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in TN · PA2842
6650 EASTGATE BLVD STE 104, Lebanon, TN 37090

Other Names 1

Former Name (1)Ms. Sara Marie Nyquist Pa-c

Other Identifiers 1

MedicaidQ031810TN

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

Ms. Sara Marie Dicken 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 ID446292445
PECOS Enrollment IDI20171129002557
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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
72 services16 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
24 services21 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
22 services11 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
17 services16 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
12 services12 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
11 services11 patients

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
6650 EASTGATE BLVD STE 104
LEBANON, TN 37090
Nurse Practitioner (Family)
6650 EASTGATE BLVD STE 104
LEBANON, TN 37090
Nurse Practitioner
6650 EASTGATE BLVD STE 104
LEBANON, TN 37090
Nurse Practitioner (Family)
6650 EASTGATE BLVD STE 104
LEBANON, TN 37090
Nurse Practitioner (Psychiatric/Mental Health)
6650 EASTGATE BLVD STE 104
LEBANON, TN 37090

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 Sara Dicken's NPI number?

The NPI number for Sara Dicken is 1942297197. It was assigned to this individual provider in the NPPES registry on October 3, 2005. The provider is also known as Ms. Sara Marie Nyquist Pa-C.

Where is Sara Dicken located?

Sara Dicken practices at 6650 Eastgate Blvd Ste 104, Lebanon, TN 37090. The listed phone number is (615) 453-9492.

What is Sara Dicken's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Sara Dicken enrolled in Medicare?

Yes. Sara Dicken 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.

When was this NPI record last updated?

The NPPES record for Sara Dicken was last updated on January 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.