ELIZABETH DEDERICK, NURSING, PC
NPI 1982463584
Nurse Practitioner - Family in Landers, CA
About Elizabeth Dederick, Nursing, Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELIZABETH DEDERICK, NURSING, PC (NPI 1982463584) is a healthcare organization registered as a family in Landers, California and active in the NPI registry since March 2024. The organization lists Elizabeth Anne Dederick, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Elizabeth Dederick, Nursing, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Elizabeth Dederick, Nursing, PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Elizabeth Dederick, Nursing, PC's NPI number?
The NPI number for Elizabeth Dederick, Nursing, PC is 1982463584. It was assigned to this organization in the NPPES registry on March 15, 2024.
Where is Elizabeth Dederick, Nursing, PC located?
Elizabeth Dederick, Nursing, PC is located at 60547 Stagemans Rd, Landers, CA 92285. The listed phone number is (760) 861-0368.
What is Elizabeth Dederick, Nursing, PC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Elizabeth Dederick, Nursing, PC enrolled in Medicare?
Yes. Elizabeth Dederick, Nursing, PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Elizabeth Dederick, Nursing, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Elizabeth Dederick, Nursing, PC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Elizabeth Dederick, Nursing, PC was last updated on November 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.
# Elizabeth Dederick, Nursing, Pc · NPI 1982463584
Family organization in Landers, California. Organization record, active in the CMS NPPES registry since March 15, 2024.
## Identity
- **NPI:** 1982463584 (Entity type: Organization)
- **Enumerated:** March 15, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Elizabeth Dederick, CEO
## Practice location
- **Address:** 60547 STAGEMANS RD, Landers, CA 92285-9402
- **Phone:** (760) 861-0368 · **Fax:** (760) 273-0921
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 21, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1982463584) · Data from the CMS NPPES public registry.