MR. PATRICK WAIDE DIXON (APNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1417308313

MR. PATRICK WAIDE DIXON (APNP) is a healthcare provider. based in Anoka, Minnesota. specializing in NURSE PRACTITIONER. They hold the professional credentials APNP. They hold a License No. 7002 (WI). The NPI Number for MR. PATRICK WAIDE DIXON (APNP) is 1417308313

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
MR. PATRICK WAIDE DIXON (APNP)
NPI
1417308313
Phone
(763) 427-7155
Address
1410 S FERRY RD
Enumeration Date
22 June 2016
Last Update Date
10 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6514228881
Graduation Year
2016 (10 years ago)
PAC ID
2961798996
Group Practice PAC ID
8224482682
Professional Enrollment ID
I20190508002361
Address ID
MN551065848SA445XXSTXX301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:9State licenses:2Digital endpointsOther names

5,720 NURSE PRACTITIONER in MN

Provider Addresses for MR. PATRICK WAIDE DIXON (APNP)

  • 1410 S FERRY RD

    ANOKA, MN 553032164

    Phone: (763) 427-7155

    Type: Mailing

  • 4444 W 76th St Ste 400

    Edina, MN 554355178

    Phone: (612) 746-7347

    Fax: (612) 746-7348

    Type: Location

  • 1836, South Avenue, La Crosse, La Crosse County, Wisconsin, 54601, United States

    LA CROSSE, WI 546015429

    Phone: (608) 782-7300

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 21 Open Payments records for all available years, with a total value of $727.

Total Amount is formed as General ($727) + Research ($0) + Ownership ($0) = $727.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($242).

Total Amount

$727

General + Research + Ownership

Payments

21

Total payment records

General Amount

$727

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

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: 2019-05-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20160831000541INurse PractitionerWITBD
I20190508002361INurse PractitionerMNTBD

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 minutes38573$0
96127Assessment of emotional or behavioral problems33370$0
80305Testing for presence of drug, read by direct observation18723$0
80307Testing for presence of drug, by chemistry analyzers17063$0
View full utilization report →

Insurance plans in this area (ZIP 55303)

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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: 8224482682View full group profile
NameSpecialtyState
Nurse PractitionerMN
Nurse PractitionerMN
Nurse PractitionerMN
Mental Health CounselorMN

Reviews

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Frequently asked questions

What unique ID ties claims to MR. PATRICK WAIDE DIXON (APNP)?
NPI 1417308313 is assigned to MR. PATRICK WAIDE DIXON (APNP) under the national enumeration system.
Is MR. PATRICK WAIDE DIXON (APNP) active in the national directory?
MR. PATRICK WAIDE DIXON (APNP)'s public NPI profile is in an active state.
Does MR. PATRICK WAIDE DIXON (APNP) list a primary specialty?
If you are matching referrals, note Psychiatric/Mental Health Nurse Practitioner for MR. PATRICK WAIDE DIXON (APNP). Clinical services aligned with this taxonomy classification.
Where is MR. PATRICK WAIDE DIXON (APNP)'s primary listing?
We display Anoka, Minnesota because that is what the record indicates for MR. PATRICK WAIDE DIXON (APNP).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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