Individual provider Active NPI

Margaret L Dicus, FNP

  • Family Nurse Practitioner
  • Sikeston, MO
National Provider Identifier
1386733830
Registry record updated Dec 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
090132 Issued in MO
Practice address
123 Smith Ave
Sikeston, MO 63801
Phone
(573) 471-0200
NPI assigned
Oct 12, 2006
Last updated
Dec 27, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 090132 MO Primary
Pediatric Nurse Practitioner 363LP0200X 090132 MO

Addresses

Primary practice location

123 Smith Ave
Sikeston, MO 63801

Mailing address

1008 N Main St
Sikeston, MO 63801-5044
Phone (573) 471-0200

Other practice location 1

105 Main Street
Charleston, MO 63834-1336
Phone (573) 683-4010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20130801000330 MO Practitioner - Nurse Practitioner 8224279385 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Missouri Delta Medical CenterGroup PAC ID 1355252891, 134 clinicians

Practice addresses (Care Compare)

1008 N Main St
Sikeston, MO 63801-5044
Phone (573) 471-1600

1015 N Main St
Sikeston, MO 63801-5043
Phone (573) 472-7777

1017 N Main St
Sikeston, MO 63801-5043
Phone (573) 472-6030

1019 N Main St
Sikeston, MO 63801-5043
Phone (573) 472-7702

1106 N Main St
Missouri Delta Urology
Sikeston, MO 63801-5046
Phone (573) 471-8656

1118 N Main St
Sikeston, MO 63801-5046
Phone (573) 471-4417

1126 N Main St
Sikeston, MO 63801-5046
Phone (573) 471-4312

125 Plaza Dr
Sikeston, MO 63801-5136
Phone (573) 472-7124

135 Plaza Dr
Sikeston, MO 63801-5148

201 Plaza Dr
Sikeston, MO 63801-5110

201 Plaza Dr
Suite C
Sikeston, MO 63801-5105
Phone (573) 481-1072

203 Plaza Dr
Sikeston, MO 63801-5105
Phone (573) 475-6488

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Missouri Delta Medical Center CurrentSince Dec 26, 2018 Accepting new patients
Missouri Delta Medical Center CurrentSince Dec 26, 2018 Accepting new patients
Ferguson Medical Group Rural Health Center Inc. Past Accepting new patients

Locations

6468 State Highway 77
Benton, MO 63736
Phone (573) 545-3565

123 Smith Ave
Sikeston, MO 63801
Phone (573) 471-0200

1008 N Main St
Sikeston, MO 63801
Phone (573) 471-1600

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545868800000",
    "number": "1386733830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 N MAIN ST",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638015044",
            "telephone_number": "573-471-0200",
            "fax_number": "573-472-2966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 SMITH AVE",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "63801",
            "telephone_number": "573-471-0200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 MAIN STREET",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "MO",
            "postal_code": "638341336",
            "country_code": "US",
            "telephone_number": "573-683-4010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DICUS",
        "first_name": "MARGARET",
        "middle_name": "L",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2018-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "090132",
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MO",
            "license": "090132",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sikeston, MO

Sources for this page

Verify at the official NPI Registry.