Individual provider Active NPI

Jaime L Dixon, FNP-BC

  • Family Nurse Practitioner
  • Huntington, WV
National Provider Identifier
1790068534
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
65921 Issued in WV
Practice address
3075 US Route 60 Ste D265
Huntington, WV 25705-8859
Phone
(304) 528-4600
Fax
(304) 399-2280
NPI assigned
Sep 27, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 65921 WV Primary

Addresses

Primary practice location

3075 US Route 60 Ste D265
Huntington, WV 25705-8859

Mailing address

3075 US Route 60
Huntington, WV 25705-8859
Phone (304) 528-4600

Other identifiers 2

IdentifierTypeStateIssuer
3810021818MedicaidWV
P00986496OtherRAILROAD MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jamie.dixon@marshall.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20111015000034 WV Practitioner - Nurse Practitioner 9436321544 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Mary'S Himg, LLCGroup PAC ID 8729406459, 80 clinicians

Practice addresses (Care Compare)

147 Willow Tree Way
Hurricane, WV 25526-1085
Phone (304) 697-6000

3075 US Route 60
Huntington, WV 25705-8859
Phone (304) 528-4600

Hospital & facility affiliations

  • St Marys Medical Center Hospital, Huntington, WV, CCN 510007

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
65921WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Mary'S Himg, LLC CurrentSince Sep 1, 2020 Accepting new patients
St. Mary'S Medical Management, LLC CurrentSince Feb 21, 2022 Accepting new patients
St. Mary'S Medical Management, LLC Family CurrentSince Feb 21, 2022 Accepting new patients
St Marys Medical Center, Inc. PastSince Apr 27, 2025 Accepting new patients
Ultimate Health Services, Inc. Past Accepting new patients

Locations

3075 US Route 60
Huntington, WV 25705
Phone (304) 733-0004

2860 3rd Ave
Ste 210
Huntington, WV 25702
Phone (304) 526-7246

2900 1st Ave
Huntington, WV 25702
Phone (304) 526-1111

3075 US Route 60
Ste D230
Huntington, WV 25705
Phone (304) 526-1234

3075 US Route 60
Ste D265
Huntington, WV 25705
Phone (304) 526-1234

147 Willow Tree Way
Hurricane, WV 25526
Phone (304) 397-3002

Interoperability endpoints

  • Direct secure messaging: jamie.dixon@marshall.cernerdirect.com

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.

Hospital & facility affiliations 1

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": "1317081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1790068534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3075 US ROUTE 60",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257058859",
            "telephone_number": "304-528-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3075 US ROUTE 60 STE D265",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257058859",
            "telephone_number": "304-528-4600",
            "fax_number": "304-399-2280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "JAIME",
        "middle_name": "L",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-27",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "65921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810021818",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00986496",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jamie.dixon@marshall.cernerdirect.com",
            "affiliation": "N",
            "address_1": "3075 US Route 60 Ste D265",
            "city": "Huntington",
            "state": "WV",
            "country_code": "US",
            "postal_code": "257058859",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

Verify at the official NPI Registry.