Individual provider Active NPI

Hiram Karl Dickinson, A.R.N.P.

  • Gerontology Nurse Practitioner
  • Sarasota, FL
National Provider Identifier
1366879439
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
ARNP9258344 Issued in FL
Practice address
5401 Sawyer Rd
Sarasota, FL 34233-2444
Phone
(941) 928-2152
Fax
(941) 349-9301
NPI assigned
Oct 3, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X ARNP9258344 FL
Gerontology Nurse Practitioner 363LG0600X ARNP9258344 FL Primary

Addresses

Primary practice location

5401 Sawyer Rd
Sarasota, FL 34233-2444

Mailing address

651 SE 41St Ave
Trenton, FL 32693-5003
Phone (941) 365-2434

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20131202000280 FL Practitioner - Nurse Practitioner 3971739319 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
Leggett Medical Group IncGroup PAC ID 7113994195, 5 clinicians

Practice addresses (Care Compare)

651 SE 41St Ave
Trenton, FL 32693-5003
Phone (941) 685-8914

Merit-based Incentive Payment System (MIPS)

Final score
79.55 of 100Reported as group
Improvement activities
40
Cost
39.11

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Leggett Medical Group Inc CurrentSince Oct 14, 2015 Accepting new patients
Personal Wellness Medicine, LLC CurrentSince Feb 7, 2021 Accepting new patients

Locations

6150 Edgelake Dr
Sarasota, FL 34240
Phone (217) 369-4168

5401 Sawyer Rd
Sarasota, FL 34233
Phone (941) 921-7462

1700 Tamiami Trl
Sarasota, FL 34239
Phone (941) 917-8507

Interoperability endpoints

  • Direct secure messaging: hiram.dickinson.1@3173.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/3173/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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": "1380758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1366879439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 SE 41ST AVE",
            "city": "TRENTON",
            "state": "FL",
            "postal_code": "326935003",
            "telephone_number": "941-365-2434",
            "fax_number": "941-349-9301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 SAWYER RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342332444",
            "telephone_number": "941-928-2152",
            "fax_number": "941-349-9301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKINSON",
        "first_name": "HIRAM",
        "middle_name": "KARL",
        "name_prefix": "Mr.",
        "credential": "A.R.N.P.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-10-03",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP9258344",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "ARNP9258344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.