Individual provider Active NPI

Mark Hansen Dickie, M.D.

  • Family Medicine Physician
  • Waco, TX
National Provider Identifier
1093763633
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M0393 Issued in TX
Practice address
214 Halbert LN
Waco, TX 76705-5455
Phone
(254) 223-1154
NPI assigned
May 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X M0393 TX Primary

Addresses

Primary practice location

214 Halbert LN
Waco, TX 76705-5455

Mailing address

214 Halbert LN
Waco, TX 76705-5455
Phone (254) 223-1154

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, ID, MT3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20060727000162 TX Practitioner - Family Practice 4183637770 Reassigns benefits to 2 organizations
I20260327002003 ID Practitioner - Family Practice 4183637770 Reassigns benefits to 1 organization
I20260327003221 MT Practitioner - Family Practice 4183637770 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

782 Dry Creek Rd
Waco, TX 76705-5409
Phone (254) 870-4417

Hospital & facility affiliations

  • Bluebonnet Health Services of Waco Home health agency, Waco, TX, CCN 453141
  • Ascension Providence Hospital, Waco, TX, CCN 450042

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions18
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M0393TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mark H. Dickie, MD PLLC Family Medicine CurrentSince Jan 1, 2025 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Jan 24, 2026 Accepting new patients

Locations

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

782 Dry Creek Rd
Waco, TX 76705
Phone (254) 870-4417

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1093763633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 HALBERT LN",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767055455",
            "telephone_number": "254-223-1154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 HALBERT LN",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767055455",
            "telephone_number": "254-223-1154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKIE",
        "first_name": "MARK",
        "middle_name": "HANSEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M0393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

Verify at the official NPI Registry.