CANDIDA R DIXON (APRN) – Nurse Practitioner, NPI 1104489186

CANDIDA R DIXON (APRN) is a healthcare provider. based in Hazard, Kentucky. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 3013306 (KY). The NPI Number for CANDIDA R DIXON (APRN) is 1104489186

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
CANDIDA R DIXON (APRN)
NPI
1104489186
Phone
(606) 439-1300
Address
101 TOWN AND COUNTRY LN STE 100
Enumeration Date
16 April 2019
Last Update Date
16 April 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6067851300
Graduation Year
2018 (8 years ago)
PAC ID
2264775022
Group Practice PAC ID
3971415993
Professional Enrollment ID
I20190517000650
Address ID
KY418228666HI425XXBYPX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

7,343 NURSE PRACTITIONER in KY

Provider Addresses for CANDIDA R DIXON (APRN)

  • 101 TOWN AND COUNTRY LN STE 100

    HAZARD, KY 417019524

    Phone: (606) 439-1300

    Fax: (606) 439-1400

    Type: Location

  • PO BOX 1988

    HAZARD, KY 417021988

    Phone: (606) 435-7642

    Fax: (606) 436-5282

    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 $19.

Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.

Last reported payment date: 2023-03-15 • Largest payer in this snapshot: Corcept Therapeutics ($19).

Total Amount

$19

General + Research + Ownership

Payments

1

Total payment records

General Amount

$19

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-15

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Corcept Therapeutics$19
View all Open Payments →|Open Payments Risk Radar →

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: 2019-05-17

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
I20190517000650INurse PractitionerKYTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes3433$0
87804Detection test by immunoassay with direct visual observation for influenza virus3316$0
87880Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)2120$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 41701)

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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: 3971415993View full group profile
NameSpecialtyState
-KY
Nurse PractitionerKY
Nurse PractitionerKY
Nurse PractitionerKY
Nurse PractitionerKY
Nurse PractitionerKY
Physician AssistantKY
Nurse PractitionerKY
Nurse PractitionerKY
Physician AssistantKY

Reviews

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Frequently asked questions

Can I use this page to confirm CANDIDA R DIXON (APRN)'s NPI?
Yes. CANDIDA R DIXON (APRN) is listed with NPI 1104489186 in the public NPI dataset.
Can I rely on CANDIDA R DIXON (APRN) being an active provider?
As of the registry snapshot, CANDIDA R DIXON (APRN) is marked active.
What healthcare role does CANDIDA R DIXON (APRN) hold?
Scheduling teams often label CANDIDA R DIXON (APRN) under Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for CANDIDA R DIXON (APRN)?
CANDIDA R DIXON (APRN)'s geographic hint is Hazard, Kentucky in our summary view.
Why does CANDIDA R DIXON (APRN) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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