Mordecia Dickenson, MSN, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

17289 Issued in TN

Practice address

7865 Educators LN Ste 110
Bartlett, TN 38133-8191

Phone

(901) 384-9920

NPI assigned

Apr 30, 2013

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

Medicare fee-for-service enrollment

Enrolled in TN

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

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Lunceford Family Health Center P.C.Group PAC ID 9931165636, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tennessee Quality Care - Home Health Home health agency, Parsons, TN, CCN 447402
• Saint Francis Bartlett Medical Center Hospital, Bartlett, TN, CCN 440228
• Baptist Memorial Hospital Hospital, Memphis, TN, CCN 440048

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: mordecia.dickensonfnp.p1@direct.luncefordfamily.nextgenshare.com

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.

• Lunceford Family Health Center P.C.

  • Clinic/Center
  • Memphis, TN
  • NPI 1184711590
  Medicare reassignment Care Compare group NPD
• Memphis Multi Specialty Associates,LLC

  • Internal Medicine Physician
  • Memphis, TN
  • NPI 1669628467
  Medicare reassignment NPD
• Memphis Primary Care Specialists

  • Family Medicine Physician
  • Memphis, TN
  • NPI 1629237292
  Medicare reassignment NPD
• Memphis Primary Care Specialists

  • Family Medicine Physician
  • Memphis, TN
  • NPI 1932540788
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baptist Memorial Hospital

  • General Acute Care Hospital
  • Memphis, TN
  • NPI 1578527172
  Care Compare affiliation
• Saint Francis Hospital - Bartlett, Inc.

  • General Acute Care Hospital
  • Bartlett, TN
  • NPI 1811929151
  Care Compare affiliation
• Tennessee Valley Home Care, LLC

  • Home Health Agency
  • Parsons, TN
  • NPI 1396702536
  Care Compare affiliation

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

{
    "created_epoch": "1367280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588118400000",
    "number": "1629413091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7865 EDUCATORS LN",
            "address_2": "#300",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381338191",
            "telephone_number": "901-384-9920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7865 EDUCATORS LN STE 110",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381338191",
            "telephone_number": "901-384-9920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKENSON",
        "first_name": "MORDECIA",
        "credential": "MSN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-30",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "17289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cara Alexandria Dennis, DNP, APRN, FNP-C
• Stephen Desouza, M.D.
• Melanie Dewerff, LPC/MHSP
• Christina Dianahesti, NCC
• Gloria M. Diaz-Ramos, OTR/L
• Divine Loving Angels Affordable Caregivers, LLC
• Andrew Jonathan Dobbin
• Ryan Dodge, M.S.
• Cassand W Dodson, RN
• Courtney Lindsey Doerr

• Family Nurse Practitioner in Bartlett, TN
• Providers in Bartlett, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2020; 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.