DR. MINDY J DICKERMAN (M.D.) – Pediatric Critical Care Medicine Physician, NPI 1912991795
Pediatric Critical Care Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
80 CRITICAL CARE (INTENSIVISTS) in DE
Provider Addresses for DR. MINDY J DICKERMAN (M.D.)
1600 Rockland Rd
Wilmington, DE 198033607
Phone: (302) 651-4200
Type: Location
3601 A St
Philadelphia, PA 191341043
Phone: (215) 427-8818
Type: Location
1 FEDERAL ST STE 200
CAMDEN, NJ 081031088
Phone: (848) 288-6935
Fax: (732) 790-0107
Type: Mailing
1 COOPER PLZ
CAMDEN, NJ 081031461
Phone: (856) 342-2900
Type: Location
191, Mill Street, Rockport, Knox County, Maine, 04856, United States
ROCKLAND, DE 197320191
Phone:
Fax: (302) 651-4945
Type: Mailing
Nemours/Alfred I. duPont Hospital for Children, 1600, Rockland Road, Wilmington, New Castle County, Delaware, 19803, United States
WILMINGTON, DE 198033607
Phone: (302) 651-4200
Type: Location
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: 2017-12-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20171115002084 | I | Critical Care (Intensivists) | DE | TBD |
| I20171228001748 | I | Pediatric Medicine | NJ | 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 19803)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | AR | |
| Infectious Disease, Pediatric Medicine | DE | |
| Diagnostic Radiology | DE | |
| Emergency Medicine, Pediatric Medicine | DE | |
| Pediatric Medicine | DE | |
| A N E S T H E S I O L O G Y | PA | |
| Pediatric Medicine | PA | |
| A N E S T H E S I O L O G Y | GA | |
| - | DE | |
| Critical Care (Intensivists) | DE |
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