LEONA NICHOLE DICKSON (APRN) – Family Nurse Practitioner, NPI 1124997408

LEONA NICHOLE DICKSON (APRN) is a healthcare provider. based in Fairview, Tennessee. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 40247 (TN). The NPI Number for LEONA NICHOLE DICKSON (APRN) is 1124997408

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
LEONA NICHOLE DICKSON (APRN)
NPI
1124997408
Phone
Not provided
Address
7416 PENNGROVE LN
Enumeration Date
4 November 2025
Last Update Date
4 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6152749767
Graduation Year
2019 (7 years ago)
PAC ID
2062904949
Group Practice PAC ID
0648653360
Professional Enrollment ID
I20251126004456
Address ID
TN370272737BR9019XBLVD301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

10,664 NURSE PRACTITIONER in TN

Provider Addresses for LEONA NICHOLE DICKSON (APRN)

  • 7416 PENNGROVE LN

    FAIRVIEW, TN 370627338

    Phone:

    Type: Mailing

  • 9019 OVERLOOK BLVD STE C1B

    BRENTWOOD, TN 370272737

    Phone: (615) 274-9767

    Type: Location

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: 2025-11-26

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
I20251126004456INurse PractitionerTNTBD

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 37062)

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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: 0648653360View full group profile
NameSpecialtyState
Nurse PractitionerTN
Nurse PractitionerTN
Nurse PractitionerTN
Nurse PractitionerTN
Nurse PractitionerKY
Nurse PractitionerTN
Nurse PractitionerTN
Nurse PractitionerTN
Nurse PractitionerMS
Nurse PractitionerTN

Reviews

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Frequently asked questions

What is the standard ID for LEONA NICHOLE DICKSON (APRN) in the U.S.?
In the U.S., LEONA NICHOLE DICKSON (APRN) is identified by NPI 1124997408.
Does the public listing show LEONA NICHOLE DICKSON (APRN) as active?
LEONA NICHOLE DICKSON (APRN)'s NPI record reflects an active status in NPPES.
How should patients interpret LEONA NICHOLE DICKSON (APRN)'s specialty?
The extract shows Family Nurse Practitioner for LEONA NICHOLE DICKSON (APRN). Clinical services aligned with this taxonomy classification.
Is LEONA NICHOLE DICKSON (APRN) tied to Fairview, Tennessee?
If you are local to Fairview, Tennessee, LEONA NICHOLE DICKSON (APRN) may be relevant to your search.
Can I export LEONA NICHOLE DICKSON (APRN)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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