MRS. DANITA MAYES DIXON (FNP-C) – Family Nurse Practitioner, NPI 1245741206

MRS. DANITA MAYES DIXON (FNP-C) is a healthcare provider. based in Detroit, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 4704235790 (MI). The NPI Number for MRS. DANITA MAYES DIXON (FNP-C) is 1245741206

Main info

Female
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
MRS. DANITA MAYES DIXON (FNP-C)
NPI
1245741206
Phone
(313) 875-4200
Address
2888 W GRAND BLVD
Enumeration Date
18 October 2017
Last Update Date
24 December 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3138754200
Graduation Year
2017 (9 years ago)
PAC ID
0446510994
Group Practice PAC ID
1052380201
Professional Enrollment ID
I20180201002453
Address ID
MI482022612DE2888XBLVD400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

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Provider Addresses for MRS. DANITA MAYES DIXON (FNP-C)

  • 2888, West Grand Boulevard, New Center, Detroit, Wayne County, Michigan, 48202:48208, United States

    DETROIT, MI 482022612

    Phone: (313) 875-4200

    Fax: (313) 875-5727

    Type: Location

  • 721 4th Ave

    Pontiac, MI 483402029

    Phone: (248) 335-3724

    Type: Location

  • 721, 4th Avenue, Pontiac, Oakland County, Michigan, 48340, United States

    PONTIAC, MI 483402029

    Phone: (248) 335-3724

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $295.

Total Amount is formed as General ($295) + Research ($0) + Ownership ($0) = $295.

Last reported payment date: 2024-10-03 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($120).

Total Amount

$295

General + Research + Ownership

Payments

14

Total payment records

General Amount

$295

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-03

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2018-02-01

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
I20180201002453INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48202)

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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: 1052380201View full group profile
NameSpecialtyState
Clinical Social WorkerMI
Nurse PractitionerMI
Family PracticeMD
O B S T E T R I C S/ G Y N E C O L O G YMI
Nurse PractitionerMN
Nurse PractitionerMI
Internal MedicineMI

Reviews

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Frequently asked questions

What is the registry number for MRS. DANITA MAYES DIXON (FNP-C)?
The registry entry for MRS. DANITA MAYES DIXON (FNP-C) shows NPI 1245741206.
Quick check: is MRS. DANITA MAYES DIXON (FNP-C) active?
Public NPPES data shows MRS. DANITA MAYES DIXON (FNP-C) with an active NPI status right now.
How should patients interpret MRS. DANITA MAYES DIXON (FNP-C)'s specialty?
The extract shows Family Nurse Practitioner for MRS. DANITA MAYES DIXON (FNP-C). Clinical services aligned with this taxonomy classification.
Is MRS. DANITA MAYES DIXON (FNP-C) tied to Detroit, Michigan?
If you are local to Detroit, Michigan, MRS. DANITA MAYES DIXON (FNP-C) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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