Individual provider Active NPI

Dawn R Flickinger, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Harrisburg, PA
National Provider Identifier
1588426399
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP029176 Issued in PA
Practice address
501 Mall Rd
Harrisburg, PA 17111-1202
Phone
(717) 780-6800
NPI assigned
Jan 26, 2024
Last updated
Jan 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP029176 PA Primary

Addresses

Primary practice location

501 Mall Rd
Harrisburg, PA 17111-1202

Mailing address

501 Mall Rd
Harrisburg, PA 17111-1202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20250312001603 PA Practitioner - Nurse Practitioner 5698296192 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Connectionspa LLCGroup PAC ID 3971038373, 13 clinicians

Practice addresses (Care Compare)

1100 S Cameron St
Suite 2
Harrisburg, PA 17104-2547
Phone (717) 408-1353

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Connectionspa LLC CurrentSince Dec 27, 2024 Accepting new patients
Connectionspa LLC CurrentSince Dec 27, 2024 Accepting new patients

Locations

1205 S 7th Ave
Ste 105
Phoenix, AZ 85007
Phone (602) 416-7647

2390 E Camelback Rd
Ste 400
Phoenix, AZ 85016
Phone (703) 543-9948

1100 S Cameron St
Ste 2
Harrisburg, PA 17104
Phone (717) 408-1353

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

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": "1706227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706227200000",
    "number": "1588426399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 MALL RD",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171111202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 MALL RD",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171111202",
            "telephone_number": "717-780-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLICKINGER",
        "first_name": "DAWN",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-26",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP029176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.