Individual provider Active NPI

Meghan Leigh Dickerson, PA-C

  • Physician Assistant
  • Scottsdale, AZ
National Provider Identifier
1750770541
Registry record updated Jun 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5920 Issued in AZ
Practice address
8415 N Pima Rd Ste 212
Scottsdale, AZ 85258-4485
Phone
(480) 434-6600
Fax
(480) 428-8615
NPI assigned
Jan 15, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5920 AZ Primary

Addresses

Primary practice location

8415 N Pima Rd Ste 212
Scottsdale, AZ 85258-4485

Mailing address

20401 N 73Rd St Ste 230
Scottsdale, AZ 85255-4153
Phone (480) 556-0445

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20150401000010 AZ Practitioner - Physician Assistant 2466779426 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology and Skin Surgery Specialists of Arizona LLCGroup PAC ID 0547588238, 5 clinicians

Practice addresses (Care Compare)

8415 N Pima Rd
Suite 212
Scottsdale, AZ 85258-4485
Phone (480) 434-6600

Merit-based Incentive Payment System (MIPS)

Final score
91.42 of 100Reported as group
Quality
100
Improvement activities
40
Cost
71.42

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Urgent Care Services, LLC Past Accepting new patients
East Valley Urgent Care, LLC Past Accepting new patients
Ucxtra Umbrella, LLC Past Accepting new patients
Richard Lee Averitte Jr PLLC PastSince Mar 1, 2020 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: meghandickerson@ad.allscriptsdirect.net

Organizations & group practices 5

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": "1421280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654041600000",
    "number": "1750770541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20401 N 73RD ST STE 230",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852554153",
            "telephone_number": "480-556-0445",
            "fax_number": "480-556-0447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8415 N PIMA RD STE 212",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584485",
            "telephone_number": "480-434-6600",
            "fax_number": "480-428-8615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKERSON",
        "first_name": "MEGHAN",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-15",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "5920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.