SHEILA R DICKERMAN (PA) – Physician Assistant, NPI 1104119874
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for SHEILA R DICKERMAN (PA)
151 SOUTHHALL LN STE 300
MAITLAND, FL 327517172
Phone: (407) 875-2080
Fax: (407) 650-3455
Type: Mailing
2835 W. DELEON ST
TAMPA, FL 33609
Phone: (813) 287-0443
Type: Location
23 NORTH ST STE 2
PRESQUE ISLE, ME 047692295
Phone: (207) 760-9278
Type: Location
2546 MIDDLETON GROVE DR
BRANDON, FL 335114784
Phone: (813) 781-5233
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: 2020-08-20
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 |
|---|---|---|---|---|
| I20120411000035 | I | Physician Assistant | FL | TBD |
| I20200820001191 | I | Physician Assistant | ME | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 59 | 57 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 32 | 31 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 12 | 12 | $0 |
Insurance plans in this area (ZIP 32751)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | ME | |
| Nurse Practitioner | ME | |
| P S Y C H I A T R Y | SD | |
| Certified Nurse Midwife (Cnm) | ME | |
| H O S P I T A L I S T | ME | |
| - | ME | |
| U R O L O G Y | VT | |
| Radiation Oncology | FL | |
| - | ME | |
| Nurse Practitioner | ME |
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