MRS. EMMANUELL DICKERSON (APRN) – Family Nurse Practitioner, NPI 1336528173
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 MRS. EMMANUELL DICKERSON (APRN)
1104 ZEPHYR WAY
PANAMA CITY, FL 324044654
Phone: (334) 618-2614
Fax: (334) 618-2614
Type: Mailing
449 W 23RD ST
PANAMA CITY, FL 32405
Phone: (334) 618-2614
Fax: (334) 618-2614
Type: Location
110 JAMES WAY
PANAMA CITY, FL 324091776
Phone: (334) 618-2614
Fax: (334) 618-2614
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $15.
Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.
Last reported payment date: 2024-02-20 • Largest payer in this snapshot: Lundbeck LLC ($15).
Total Amount
$15
General + Research + Ownership
Payments
1
Total payment records
General Amount
$15
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lundbeck LLC | $15 |
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: 2023-06-23
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 |
|---|---|---|---|---|
| I20151118000333 | I | Nurse Practitioner | FL | TBD |
| I20230620000285 | I | Nurse Practitioner | OH | TBD |
| I20230623000548 | I | Nurse Practitioner | NC | 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 |
|---|---|---|---|---|
| 99458 | Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes | 593 | 151 | $0 |
| 99457 | Management using the results of remote vital sign monitoring per calendar month, first 20 minutes | 484 | 187 | $0 |
| 99454 | Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 444 | 156 | $0 |
| 99443 | Telephone medical discussion with physician, 21-30 minutes | 71 | 66 | $0 |
| 99442 | Telephone medical discussion with physician, 11-20 minutes | 60 | 57 | $0 |
Insurance plans in this area (ZIP 32404)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| P S Y C H I A T R Y | FL | |
| P S Y C H I A T R Y | FL | |
| P S Y C H I A T R Y | FL | |
| P S Y C H I A T R Y | FL | |
| Nurse Practitioner | FL | |
| P S Y C H I A T R Y | MA | |
| - | FL | |
| P S Y C H I A T R Y | FL | |
| P S Y C H I A T R Y | IL |
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