MR. JEFFRY ALAN DICKERSON (FNP) – Nurse Practitioner, NPI 1699070144
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MR. JEFFRY ALAN DICKERSON (FNP)
3603 Paesanos Pkwy, Ste 205A
San Antonio, TX 782311227
Phone: (210) 615-1901
Fax: (210) 615-1905
Type: Location
PO BOX 840853
DALLAS, TX 752840853
Phone: (713) 620-4000
Fax: (713) 458-4229
Type: Mailing
1500 CITYWEST BLVD STE 300
HOUSTON, TX 77042
Phone: (713) 620-4000
Fax: (713) 458-4229
Type: Location
3903 WISEMAN BLVD, STE 311
SAN ANTONIO, TX 782514422
Phone: (210) 615-1901
Fax: (210) 615-1905
Type: Location
P.O. BOX 117614
CARROLLTON, TX 750114422
Phone: (210) 615-1901
Fax: (210) 615-1905
Type: Mailing
12602 Toepperwein Rd Ste 218
Live Oak, TX 782333271
Phone: (210) 615-1901
Fax: (210) 615-1905
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 22 Open Payments records for all available years, with a total value of $942.
Total Amount is formed as General ($942) + Research ($0) + Ownership ($0) = $942.
Last reported payment date: 2024-11-25 • Largest payer in this snapshot: Abbott Laboratories ($503).
Total Amount
$942
General + Research + Ownership
Payments
22
Total payment records
General Amount
$942
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-25
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: 2011-05-20
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 |
|---|---|---|---|---|
| I20110520000668 | I | Nurse Practitioner | TX | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 78231)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TX | |
| Certified Registered Nurse Anesthetist (Crna) | TX | |
| Anesthesiology, Pediatric Medicine, Physical Medicine And Rehabilitation, Interventional Pain Management | TX | |
| - | TX | |
| - | TX | |
| - | TX | |
| Certified Registered Nurse Anesthetist (Crna) | TX |
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