MS. DERRICKA SHAURICE DIXON (MSN, APRN, FNP-BC) – Family Nurse Practitioner, NPI 1548046758

MS. DERRICKA SHAURICE DIXON (MSN, APRN, FNP-BC) is a healthcare provider. based in Coconut creek, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials MSN, APRN, FNP-BC. They hold a License No. APRN11028370 (FL). The NPI Number for MS. DERRICKA SHAURICE DIXON (MSN, APRN, FNP-BC) is 1548046758

Main info

Female
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
MS. DERRICKA SHAURICE DIXON (MSN, APRN, FNP-BC)
NPI
1548046758
Phone
(954) 516-4655
Address
5261 W HILLSBORO BLVD APT 102
Enumeration Date
4 September 2023
Last Update Date
29 October 2023

Doctor Profile

Medical School Name
FLORIDA ATLANTIC UNIVERSITY, COLLEGE OF MEDICINE
Secondary Phone
9549431133
Graduation Year
2023 (3 years ago)
PAC ID
7719322767
Group Practice PAC ID
2466604616
Professional Enrollment ID
I20240229000564
Address ID
FL330733414CO4515XRDXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for MS. DERRICKA SHAURICE DIXON (MSN, APRN, FNP-BC)

  • 5261 W HILLSBORO BLVD APT 102

    COCONUT CREEK, FL 330734547

    Phone: (954) 516-4655

    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)

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: 2024-02-29

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240229000564INurse PractitionerFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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 33073)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2466604616View full group profile

Reviews

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Frequently asked questions

How is MS. DERRICKA SHAURICE DIXON (MSN, APRN, FNP-BC) identified in CMS data?
CMS-hosted NPPES data lists MS. DERRICKA SHAURICE DIXON (MSN, APRN, FNP-BC) with NPI 1548046758.
Can I rely on MS. DERRICKA SHAURICE DIXON (MSN, APRN, FNP-BC) being an active provider?
As of the registry snapshot, MS. DERRICKA SHAURICE DIXON (MSN, APRN, FNP-BC) is marked active.
What is MS. DERRICKA SHAURICE DIXON (MSN, APRN, FNP-BC)'s primary classification?
Family Nurse Practitioner is the headline specialty for MS. DERRICKA SHAURICE DIXON (MSN, APRN, FNP-BC) here. Clinical services aligned with this taxonomy classification.
Where should I expect MS. DERRICKA SHAURICE DIXON (MSN, APRN, FNP-BC) on a map?
Expect Coconut Creek, Florida as a primary anchor for MS. DERRICKA SHAURICE DIXON (MSN, APRN, FNP-BC) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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