DR. RANDI LYNN BALLARD-DICKERSON (DNP, FNP-C) – Family Nurse Practitioner, NPI 1164982229

DR. RANDI LYNN BALLARD-DICKERSON (DNP, FNP-C) is a healthcare provider. based in Flint, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials DNP, FNP-C. They hold a License No. 4704289620 (MI). The NPI Number for DR. RANDI LYNN BALLARD-DICKERSON (DNP, FNP-C) is 1164982229

Main info

Female
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
DR. RANDI LYNN BALLARD-DICKERSON (DNP, FNP-C)
NPI
1164982229
Phone
(810) 732-3180
Address
1140 S LINDEN RD BLDG A
Enumeration Date
23 March 2019
Last Update Date
23 March 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2017 (9 years ago)
PAC ID
5890029508
Group Practice PAC ID
3678536398
Professional Enrollment ID
I20190701001025
Address ID
MI485032190FL2700XBXXX600
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

8,106 NURSE PRACTITIONER in MI

Provider Addresses for DR. RANDI LYNN BALLARD-DICKERSON (DNP, FNP-C)

  • 1140 S LINDEN RD BLDG A

    FLINT, MI 485323437

    Phone: (810) 732-3180

    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 83 Open Payments records for all available years, with a total value of $1,250.

Total Amount is formed as General ($1,250) + Research ($0) + Ownership ($0) = $1,250.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ABBVIE INC. ($387).

Total Amount

$1,250

General + Research + Ownership

Payments

83

Total payment records

General Amount

$1,250

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

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: 2019-07-01

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
I20190701001025INurse PractitionerMITBD

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
99214Established patient office or other outpatient visit, 30-39 minutes2322$0
99203New patient office or other outpatient visit, 30-44 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 48532)

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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: 3678536398View full group profile
NameSpecialtyState
Nurse PractitionerMI
Nurse PractitionerMI
Nurse PractitionerMI
-MI
-TX
Nurse PractitionerMI
P O D I A T R YMI
Internal MedicineMI
C H I R O P R A C T I CMI
Physician AssistantMI

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. RANDI LYNN BALLARD-DICKERSON (DNP, FNP-C)?
DR. RANDI LYNN BALLARD-DICKERSON (DNP, FNP-C) — NPI 1164982229 — is the standard way to identify this listing.
Is DR. RANDI LYNN BALLARD-DICKERSON (DNP, FNP-C) listed as active for patients and plans?
The listing shows DR. RANDI LYNN BALLARD-DICKERSON (DNP, FNP-C) as active in the NPI system.
What healthcare role does DR. RANDI LYNN BALLARD-DICKERSON (DNP, FNP-C) hold?
Scheduling teams often label DR. RANDI LYNN BALLARD-DICKERSON (DNP, FNP-C) under Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where should I expect DR. RANDI LYNN BALLARD-DICKERSON (DNP, FNP-C) on a map?
Expect Flint, Michigan as a primary anchor for DR. RANDI LYNN BALLARD-DICKERSON (DNP, FNP-C) unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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