Mary Ellen Dickinson, C-PNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

216258 Issued in MA

Practice address

370 Oak St
Suite a
Brockton, MA 02301-1341

Phone

(508) 584-1234

Fax

(508) 584-0230

NPI assigned

Aug 24, 2005

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Pediatric Nurse Practitioner

State licenses

Practice roles

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

• Children's Hospital Pediatric Associates, Inc

  • Pediatrics Physician
  • Boston, MA
  • NPI 1457306664
  NPD (past)
• Pediatric Associates Inc. of Brockton

  • Pediatrics Physician
  • Brockton, MA
  • NPI 1649389552
  NPD (past)

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1356334429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 UPLAND RD",
            "city": "PLYMPTON",
            "state": "MA",
            "postal_code": "023671602",
            "telephone_number": "781-585-1631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 OAK ST",
            "address_2": "SUITE A",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023011341",
            "telephone_number": "508-584-1234",
            "fax_number": "508-584-0230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKINSON",
        "first_name": "MARY ELLEN",
        "credential": "C-PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-24",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MA",
            "license": "216258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "70010000NP9823",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erica Diaz, LSW
• Ivette Diaz
• Nicole Dicecca, MA
• Mark S Dichter, MD
• Barbara Dickey
• Thomas Haines Dickinson, M.D.
• Alyssa Dicosmo, MD
• Savanna Dicristina, PHARMD, MPH, BCPS
• Gvantsa Didebulidze, M.D
• Sonja Scott Diego

• Pediatric Nurse Practitioner in Brockton, MA
• Providers in Brockton, MA by specialty
• Pediatric Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.