HANNAH N DICKINS (PA-C) – Physician Assistant, NPI 1497118913
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
629 PHYSICIAN ASSISTANT in AR
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Provider Addresses for HANNAH N DICKINS (PA-C)
809, Arthur Street, Little Rock, Pulaski County, Arkansas, 72205, United States
LITTLE ROCK, AR 722052901
Phone: (217) 714-5069
Type: Mailing
Jefferson Regional Medical Center, 1600, West 40th Avenue, Pine Bluff, Jefferson County, Arkansas, 71603, United States
PINE BLUFF, AR 716036301
Phone: (870) 541-7100
Type: Location
550 POPE AVE
FORT LEAVENWORTH, KS 660272332
Phone: (913) 684-6000
Fax: (913) 684-6612
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-06-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160426002108 | I | Physician Assistant | AR | TBD |
| I20180905002001 | I | Physician Assistant | MO | TBD |
| I20250626000277 | I | Physician Assistant | KS | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 72205)
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