JAMIE LYNN DICKINSON (PA) – Physician Assistant, NPI 1457567158
Physician Assistant
Main info
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for JAMIE LYNN DICKINSON (PA)
PO BOX 1848
MUSKEGON, MI 494431848
Phone: (231) 672-3100
Fax: (231) 672-3102
Type: Mailing
601 W SAVIDGE ST
SPRING LAKE, MI 494561620
Phone: (231) 672-3100
Fax: (231) 672-3102
Type: Location
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 495032560
Phone:
Type: Mailing
15100 WHITTAKER WAY
GRAND HAVEN, MI 494178696
Phone: (616) 935-6320
Type: Location
Baker Street, Muskegon Heights, Muskegon County, Michigan, 49444, United States
MUSKEGON, MI 494442157
Phone: (231) 737-1335
Fax: (231) 737-0534
Type: Mailing
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: 2007-09-17
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 |
|---|---|---|---|---|
| I20070917000330 | I | Physician Assistant | MI | 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 | 92 | 60 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 35 | 26 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 12 | 12 | $0 |
Insurance plans in this area (ZIP 49443)
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