AUDREY A. DICKERSON (PA-C) – Physician Assistant, NPI 1902258866
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,499 PHYSICIAN ASSISTANT in IN
Provider Addresses for AUDREY A. DICKERSON (PA-C)
PO BOX 652
INDIANAPOLIS, IN 462060652
Phone: (260) 407-8007
Fax: (260) 407-8007
Type: Mailing
1515 N MADISON AVE
ANDERSON, IN 46011
Phone: (765) 298-5141
Type: Location
401 E 34TH ST
INDIANAPOLIS, IN 462053754
Phone: (317) 926-1507
Fax: (317) 926-1508
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $101.
Total Amount is formed as General ($101) + Research ($0) + Ownership ($0) = $101.
Last reported payment date: 2024-09-09 • Largest payer in this snapshot: Gilead Sciences, Inc. ($29).
Total Amount
$101
General + Research + Ownership
Payments
5
Total payment records
General Amount
$101
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Gilead Sciences, Inc. | $29 |
| ABIOMED | $28 |
| SANOFI PASTEUR INC. | $17 |
| Exact Sciences Corporation | $13 |
| ABBVIE INC. | $13 |
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: 2016-07-13
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 |
|---|---|---|---|---|
| I20160713000468 | I | Physician Assistant | IN | 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 |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 12 | 12 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 11 | 11 | $0 |
Insurance plans in this area (ZIP 46206)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | NE | |
| Family Practice | IN | |
| Family Practice | IN | |
| Physician Assistant | IN | |
| Clinical Psychologist | IN | |
| Physician Assistant | IN | |
| Clinical Social Worker | IN | |
| O P T O M E T R Y | IN | |
| Physician Assistant | IN | |
| - | IN |
Reviews
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