SHARON MARIE KOEP DICKEY (MSN) – Family Nurse Practitioner, NPI 1184618688

SHARON MARIE KOEP DICKEY (MSN) is a healthcare provider. based in Elk river, Minnesota. specializing in NURSE PRACTITIONER. They hold the professional credentials MSN. They hold a License No. R0962504 (MN). The NPI Number for SHARON MARIE KOEP DICKEY (MSN) is 1184618688

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
SHARON MARIE KOEP DICKEY (MSN)
NPI
1184618688
Phone
(763) 389-7686
Address
19425 EVANS ST NW
Enumeration Date
12 September 2005
Last Update Date
22 October 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6514068860
Graduation Year
1999 (27 years ago)
PAC ID
3577505346
Group Practice PAC ID
7113830142
Professional Enrollment ID
I20050523001092
Address ID
MN551221451EA1440XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

5,720 NURSE PRACTITIONER in MN

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Provider Addresses for SHARON MARIE KOEP DICKEY (MSN)

  • Coborn's, 19425, Evans Street Northwest, Elk River, Sherburne County, Minnesota, 55330, United States

    ELK RIVER, MN 553301074

    Phone: (763) 389-7686

    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: 2005-05-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-11-30 (921 days ago).

Enrollment records

1

Earliest due date

2023-11-30

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
I20050523001092INurse PractitionerMN2023-11-30

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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
99213Established patient office or other outpatient visit, 20-29 minutes3734$0
99442Telephone medical discussion with physician, 11-20 minutes1919$0
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Insurance plans in this area (ZIP 55330)

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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: 7113830142View full group profile

Reviews

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Frequently asked questions

What identifier follows SHARON MARIE KOEP DICKEY (MSN) across health systems?
The NPI 1184618688 uniquely identifies SHARON MARIE KOEP DICKEY (MSN) in U.S. healthcare data.
Quick check: is SHARON MARIE KOEP DICKEY (MSN) active?
Public NPPES data shows SHARON MARIE KOEP DICKEY (MSN) with an active NPI status right now.
How should patients interpret SHARON MARIE KOEP DICKEY (MSN)'s specialty?
The extract shows Family Nurse Practitioner for SHARON MARIE KOEP DICKEY (MSN). Clinical services aligned with this taxonomy classification.
What city is tied to SHARON MARIE KOEP DICKEY (MSN)?
The directory associates SHARON MARIE KOEP DICKEY (MSN) with Elk River, Minnesota. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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