Individual provider Active NPI

Mary E Dixon, CRNP

  • Family Nurse Practitioner
  • Enola, PA
National Provider Identifier
1083038541
Registry record updated Jan 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP013468 Issued in PA
Practice address
1830 Good Hope Rd
Enola, PA 17025-1233
Phone
(717) 652-9555
Fax
(717) 791-2621
NPI assigned
Feb 4, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP013468 PA
Family Nurse Practitioner 363LF0000X SP013468 PA Primary

Addresses

Primary practice location

1830 Good Hope Rd
Enola, PA 17025-1233

Mailing address

1830 Good Hope Rd
Enola, PA 17025-1233
Phone (717) 652-9555

Other practice location 1

1211 Forge Rd Ste 300
Carlisle, PA 17013-3183
Phone (717) 218-3920

Other practice location 2

820 Sir Thomas Ct
Harrisburg, PA 17109-4839
Phone (717) 652-9555

Other practice location 3

1830 Good Hope Rd
Enola, PA 17025-1233
Phone (717) 988-9019

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mdixon121813@direct.geisinger.edu Direct
Direct Messaging Address mdixon209147@phsdirect.pinnaclehealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140425001220 PA Practitioner - Nurse Practitioner 5092948133 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Health Medical ServicesGroup PAC ID 7618960493, 1,025 clinicians

Practice addresses (Care Compare)

1830 Good Hope Rd
Enola, PA 17025-1233
Phone (717) 652-9555

Merit-based Incentive Payment System (MIPS)

Final score
86.08 of 100Reported as group
Quality
76.48
Promoting interoperability
100
Improvement activities
40
Cost
77.12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP013468PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services CurrentSince Sep 1, 2021 Accepting new patients
Pinnacle Health Medical Services Current Accepting new patients
Pinnacle Health Medical Services Nurse Practitioner CurrentSince Sep 1, 2021 Accepting new patients
Pinnacle Health Medical Services Nurse Practitioner Past Accepting new patients

Locations

503 N 21st St
Camp Hill, PA 17011
Phone (717) 763-2100

100 N Academy Ave
Danville, PA 17822

1830 Good Hope Rd
Enola, PA 17025
Phone (717) 732-8877

820 Sir Thomas Ct
Harrisburg, PA 17109
Phone (717) 724-4870

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

Interoperability endpoints

  • Direct secure messaging: mdixon121813@direct.geisinger.edu
  • Direct secure messaging: mdixon285874@upmc.direct-ci.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1391472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641513600000",
    "number": "1083038541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 GOOD HOPE RD",
            "city": "ENOLA",
            "state": "PA",
            "postal_code": "170251233",
            "telephone_number": "717-652-9555",
            "fax_number": "717-791-2621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 GOOD HOPE RD",
            "city": "ENOLA",
            "state": "PA",
            "postal_code": "170251233",
            "telephone_number": "717-652-9555",
            "fax_number": "717-791-2621"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1211 Forge Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Carlisle",
            "state": "PA",
            "postal_code": "170133183",
            "country_code": "US",
            "telephone_number": "717-218-3920",
            "fax_number": "717-218-3921",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "820 Sir Thomas Ct",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "171094839",
            "country_code": "US",
            "telephone_number": "717-652-9555",
            "fax_number": "717-791-2621",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1830 Good Hope Rd",
            "address_purpose": "LOCATION",
            "city": "Enola",
            "state": "PA",
            "postal_code": "170251233",
            "country_code": "US",
            "telephone_number": "717-988-9019",
            "fax_number": "717-221-5593",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIXON",
        "first_name": "MARY",
        "middle_name": "E",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-04",
        "last_updated": "2022-01-07",
        "certification_date": "2022-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP013468",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP013468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mdixon121813@direct.geisinger.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1211 Forge Rd Ste 300",
            "city": "Carlisle",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170133183",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mdixon209147@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "1830 Good Hope Rd",
            "city": "Enola",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170251233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Enola, PA

Sources for this page

Verify at the official NPI Registry.