JESSICA DICKMAN – Family Nurse Practitioner, NPI 1669940656
Family Nurse Practitioner
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
7,017 NURSE PRACTITIONER in MO
Provider Addresses for JESSICA DICKMAN
3635 Vista Ave
Saint Louis, MO 631102539
Phone: (314) 577-8735
Type: Location
1035 BELLEVUE AVE STE 500
SAINT LOUIS, MO 631171843
Phone: (314) 925-4773
Type: Location
PO BOX 955534
SAINT LOUIS, MO 631951982
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 43 Open Payments records for all available years, with a total value of $592.
Total Amount is formed as General ($592) + Research ($0) + Ownership ($0) = $592.
Last reported payment date: 2024-10-21 • Largest payer in this snapshot: ABBVIE INC. ($299).
Total Amount
$592
General + Research + Ownership
Payments
43
Total payment records
General Amount
$592
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-21
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2021-12-08
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20211208000512 | I | Nurse Practitioner | IL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 229 | 139 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 39 | 39 | $0 |
| 81003 | Automated urinalysis test | 30 | 28 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 24 | 22 | $0 |
| 83036 | Hemoglobin a1c level | 19 | 17 | $0 |
Insurance plans in this area (ZIP 63110)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Pediatric Medicine, Internal Medicine | MO | |
| Physician Assistant | IL | |
| Family Practice | IL | |
| Physician Assistant | IL | |
| - | MO | |
| Physician Assistant | IL |
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