DIXIE AUTUM ROCHESTER (RN, BSN, NP) – Nurse Practitioner, NPI 1790707255
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
22,204 NURSE PRACTITIONER in TX
Provider Addresses for DIXIE AUTUM ROCHESTER (RN, BSN, NP)
126 W Main St Ste C
Gun Barrel City, TX 751565404
Phone: (903) 595-2283
Type: Location
2001 W Ferguson Rd Ste 1000
MT Pleasant, TX 754552962
Phone: (903) 595-2283
Type: Location
3201 S Loop 256
Palestine, TX 758016901
Phone: (903) 661-7057
Type: Location
1783 Troup Hwy
Tyler, TX 757015869
Phone: (903) 595-2283
Type: Location
Band Box Place, Dallas, Dallas County, Texas, 75244, United States
DALLAS, TX 752846098
Phone: (903) 324-6450
Type: Mailing
CHRISTUS Louis & Peaches Owen Heart Hospital, 703, South Fleishel Avenue, Tyler, Smith County, Texas, 75702, United States
STE 5000
TYLER, TX 757012015
Phone: (903) 606-2830
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 116 Open Payments records for all available years, with a total value of $1,612.
Total Amount is formed as General ($1,612) + Research ($0) + Ownership ($0) = $1,612.
Last reported payment date: 2024-11-25 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($522).
Total Amount
$1,612
General + Research + Ownership
Payments
116
Total payment records
General Amount
$1,612
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: 2006-09-13
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 |
|---|---|---|---|---|
| I20060913000066 | 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.
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 | 803 | 584 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 130 | 123 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 45 | 45 | $0 |
| 93248 | Heart rhythm review and interpretation of continous external ekg over 8-15 days | 15 | 15 | $0 |
Insurance plans in this area (ZIP 75156)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | TX | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 14 | 14 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | AZ | |
| Internal Medicine | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| - | TX | |
| E N D O C R I N O L O G Y | TX | |
| Nurse Practitioner | IL | |
| - | NC | |
| Physician Assistant | LA | |
| Hospitalist, Gastroenterology | TX |
Reviews
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