Patrick Waide Dixon, APNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

6293 Issued in MN

Practice address

1410 S Ferry Rd
Anoka, MN 55303-2164

Phone

(763) 427-7155

NPI assigned

Jun 22, 2016

Last updated

Jun 10, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in WI, MN2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Dr Sujit R Varma IncGroup PAC ID 1254585599, 4 clinicians

Affirmation Health LLCGroup PAC ID 8224482682, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/21285/brand/1/csg/1/fhir/r4

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.

• Affirmation Health, LLC

  • Adult Health Nurse Practitioner
  • Saint Paul, MN
  • NPI 1841973690
  Medicare reassignment Care Compare group NPD
• Dr Sujit R Varma Inc

  • Psychiatry Physician
  • Edina, MN
  • NPI 1194098053
  Medicare reassignment Care Compare group NPD
• Transformation House Inc

  dba Agape Health and Wellness

  • Mental Health Counselor
  • Anoka, MN
  • NPI 1417768771
  Medicare reassignment NPD
• Gundersen Lutheran Medical Center Inc

  dba Emplify Health Hamilton Clinic

  • Clinic/Center
  • La Crosse, WI
  • NPI 1225873458
  Medicare reassignment NPD
• Gundersen Lutheran Medical Center Inc

  dba Emplify Health La Crosse Hospital

  • General Acute Care Hospital
  • La Crosse, WI
  • NPI 1376593442
  NPD
• Gundersen Lutheran Medical Center, Inc

  dba Emplify Health Onalaska Behavioral Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Onalaska, WI
  • NPI 1871837567
  NPD
• Transformation House, Inc.

  • Substance Abuse Rehabilitation Facility
  • Anoka, MN
  • NPI 1114143989

  Adult Health

  NPD (past)
• Transformation House, Inc.

  • Substance Abuse Rehabilitation Facility
  • Fridley, MN
  • NPI 1508081506

  Adult Health

  NPD (past)
• Inspiring Vitality Wellness Institute LLC

  • Chiropractor
  • Hudson, WI
  • NPI 1932411873
  NPD (past)

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

{
    "created_epoch": "1466553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1417308313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 S FERRY RD",
            "city": "ANOKA",
            "state": "MN",
            "postal_code": "553032164",
            "telephone_number": "763-427-7155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 S FERRY RD",
            "city": "ANOKA",
            "state": "MN",
            "postal_code": "553032164",
            "telephone_number": "763-427-7155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4444 W 76th St Ste 400",
            "address_purpose": "LOCATION",
            "city": "Edina",
            "state": "MN",
            "postal_code": "554355178",
            "country_code": "US",
            "telephone_number": "612-746-7347",
            "fax_number": "612-746-7348",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIXON",
        "first_name": "PATRICK",
        "middle_name": "WAIDE",
        "name_prefix": "Mr.",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-22",
        "last_updated": "2024-06-10",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WI",
            "license": "7002",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MN",
            "license": "6293",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "6293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Nicole Diedrich, OTR
• Amie Jo Digatono, PHARM.D
• Gina Digatono, CCC-SLP
• Ashley Elizabeth Dimas, MA
• Michelle Suzanne Dionne
• DJ-MN Inc (Select Eyecare)
• Jaylee Rayanna Doe
• Jeffrey Thomas Doheny, L.P.
• Danielle D Dokken
• Yijie Dong, MD, PHD

• Psychiatric/Mental Health Nurse Practitioner in Anoka, MN
• Providers in Anoka, MN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.