MR. ZACHARY WILLIAM DICKSON (ARNP-C) – Family Nurse Practitioner, NPI 1114217221
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
Provider Addresses for MR. ZACHARY WILLIAM DICKSON (ARNP-C)
1410 BRICKYARD RD
CHIPLEY, FL 324285966
Phone: (850) 638-3400
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 50 Open Payments records for all available years, with a total value of $906.
Total Amount is formed as General ($906) + Research ($0) + Ownership ($0) = $906.
Last reported payment date: 2024-10-08 • Largest payer in this snapshot: ABBVIE INC. ($307).
Total Amount
$906
General + Research + Ownership
Payments
50
Total payment records
General Amount
$906
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $307 |
| Novo Nordisk Inc | $177 |
| Lilly USA, LLC | $66 |
| PFIZER INC. | $48 |
| GlaxoSmithKline, LLC. | $41 |
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: 2011-08-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20110824000355 | I | Nurse Practitioner | FL | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 61 | 60 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 49 | 49 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 30 | 30 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 26 | 13 | $0 |
| 87811 | Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) | 21 | 21 | $0 |
Insurance plans in this area (ZIP 32428)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | AL | |
| Internal Medicine | AL | |
| Nurse Practitioner | AL | |
| Nurse Practitioner | FL | |
| Emergency Medicine, General Practice | FL | |
| Family Practice, Emergency Medicine, Internal Medicine | FL | |
| Certified Registered Nurse Anesthetist (Crna) | NC | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL |
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