MORDECIA DICKENSON (MSN, FNP-BC) – Family Nurse Practitioner, NPI 1629413091
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
10,664 NURSE PRACTITIONER in TN
Provider Addresses for MORDECIA DICKENSON (MSN, FNP-BC)
7865 EDUCATORS LN
#300
BARTLETT, TN 381338191
Phone: (901) 384-9920
Type: Mailing
7865 EDUCATORS LN STE 110
BARTLETT, TN 381338191
Phone: (901) 384-9920
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 138 Open Payments records for all available years, with a total value of $2,451.
Total Amount is formed as General ($2,451) + Research ($0) + Ownership ($0) = $2,451.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ABBVIE INC. ($529).
Total Amount
$2,451
General + Research + Ownership
Payments
138
Total payment records
General Amount
$2,451
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $529 |
| GlaxoSmithKline, LLC. | $370 |
| Novo Nordisk Inc | $329 |
| IMPEL PHARMACEUTICALS INC. | $189 |
| IDORSIA PHARMACEUTICALS US INC | $178 |
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: 2013-05-07
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 |
|---|---|---|---|---|
| I20130507000688 | I | Nurse Practitioner | TN | 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 | 221 | 117 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 195 | 116 | $0 |
| 81003 | Automated urinalysis test | 165 | 102 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 76 | 53 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 57 | 11 | $0 |
Insurance plans in this area (ZIP 38133)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TN | |
| Physician Assistant | TN |
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