Active NPI
Dixie Autum Rochester, RN, BSN, NP
- Nurse Practitioner
- Tyler, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP115010
- Practice address
- 703 S Fleishel Ave
Ste 5000
Tyler, TX 75701-2015 - Phone
- (903) 606-2830
- NPI assigned
- Jul 24, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 679723 | TX | |
| Nurse Practitioner | 363L00000X | AP115010 | TX | Primary |
Addresses
Primary practice location
703 S Fleishel Ave
Ste 5000
Tyler, TX 75701-2015
Mailing address
PO Box 846098
Dallas, TX 75284-6098
Phone (903) 324-6450
Other practice location 1
126 W Main St Ste C
Gun Barrel City, TX 75156-5404
Phone (903) 595-2283
Other practice location 2
2001 W Ferguson Rd Ste 1000
MT Pleasant, TX 75455-2962
Phone (903) 595-2283
Other practice location 3
3201 S Loop 256
Palestine, TX 75801-6901
Phone (903) 661-7057
Other practice location 4
1783 Troup Hwy
Tyler, TX 75701-5869
Phone (903) 595-2283
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 190351005 | Medicaid | TX | |
| 190351006 | Medicaid | TX | |
| 45-5720165 | Other | TX | TRICARE |
| 75-2616977-120 | Other | TX | TRICARE |
| 75-2616977-123 | Other | TX | TRICARE |
| 8858NH | Other | TX | BCBS |
| 8748MC | Other | TX | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
105 Zeid Blvd
Henderson, TX 75652-6070
Phone (903) 595-2283
1783 Troup Hwy
Tyler, TX 75701-5869
Phone (903) 595-2283
18780 Interstate 20
Canton, TX 75103-3593
Phone (903) 567-4841
3201 S Loop
Palestine, TX 75801-6901
3203 S Main St
Christus Trinity Clinic
Lindale, TX 75771-7727
Phone (903) 266-4000
5321 S FM
14 Christus Trinity Clinic
Holly Lake Ranch, TX 75765-4839
Phone (903) 769-2990
620 S Fleishel Ave
Christus Trinity Clinic
Tyler, TX 75701-2041
Phone (903) 606-4900
630 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-5560
650 E Lennon Dr
Christus Trinity Clinic
Emory, TX 75440-3227
Phone (903) 473-7234
PO Box
Suite 846098
Dallas, TX 75284-6098
Hospital & facility affiliations
- Christus Mother Frances Hospital
- Christus Mother Frances Hospital Sulphur Springs
- Christus Mother Frances Hospital- Winnsboro
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor on Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 679723 | TX | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Aligned Providers of East Texas | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| HMCC, PLLC | Past | Accepting new patients | |
| Trinity Clinic | Past | Accepting new patients |
Locations
1500 E Houston St
Beeville, TX 78102
Phone (361) 354-2000
126 W Main St
Ste C
Gun Barrel City, TX 75156
Phone (214) 912-0616
2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500
3203 S Main St
Lindale, TX 75771
Phone (903) 266-4000
2001 W Ferguson Rd
Ste 1000
Mt Pleasant, TX 75455
Phone (903) 606-7480
3201 S Loop 256
Palestine, TX 75801
Phone (903) 723-0330
1000 S Beckham Ave
Tyler, TX 75701
Phone (903) 526-1068
630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888
703 S Fleishel Ave
Ste 5000
Tyler, TX 75701
Phone (903) 525-2992
800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018
1783 Troup Hwy
Tyler, TX 75701
Phone 90359522832057
Interoperability endpoints
- drochester355255@ahs.direct-ci.com
- drochester95992@christushealth.direct-ci.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.
-
- Family Medicine Physician
- Tyler, TX
- NPI 1285684225
-
- Cardiovascular Disease Physician
- Tyler, TX
- NPI 1144632621
-
- Rural Health Clinic/Center
- Winnsboro, TX
- NPI 1801673165
-
- Chiropractor
- Alice, TX
- NPI 1770814154
-
- Family Medicine Physician
- Tyler, TX
- NPI 1922058304
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sulphur Springs, TX
- NPI 1033568621
-
- General Acute Care Hospital
- Tyler, TX
- NPI 1679578439
-
- Critical Access Hospital
- Winnsboro, TX
- NPI 1659308948
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720656000000",
"number": "1790707255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 846098",
"city": "DALLAS",
"state": "TX",
"postal_code": "752846098",
"telephone_number": "903-324-6450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "703 S FLEISHEL AVE",
"address_2": "STE 5000",
"city": "TYLER",
"state": "TX",
"postal_code": "757012015",
"telephone_number": "903-606-2830"
}
],
"practiceLocations": [
{
"address_1": "126 W Main St Ste C",
"address_purpose": "LOCATION",
"city": "Gun Barrel City",
"state": "TX",
"postal_code": "751565404",
"country_code": "US",
"telephone_number": "903-595-2283",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2001 W Ferguson Rd Ste 1000",
"address_purpose": "LOCATION",
"city": "MT Pleasant",
"state": "TX",
"postal_code": "754552962",
"country_code": "US",
"telephone_number": "903-595-2283",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3201 S Loop 256",
"address_purpose": "LOCATION",
"city": "Palestine",
"state": "TX",
"postal_code": "758016901",
"country_code": "US",
"telephone_number": "903-661-7057",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1783 Troup Hwy",
"address_purpose": "LOCATION",
"city": "Tyler",
"state": "TX",
"postal_code": "757015869",
"country_code": "US",
"telephone_number": "903-595-2283",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROCHESTER",
"first_name": "DIXIE",
"middle_name": "AUTUM",
"credential": "RN, BSN, NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-24",
"last_updated": "2024-07-11",
"certification_date": "2024-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "679723",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "AP115010",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "190351005",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "190351006",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "45-5720165",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "75-2616977-120",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "75-2616977-123",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8858NH",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8748MC",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.