Whitney Anne Dickerson, APRN-C
Individual provider Active NPI Family Nurse Practitioner · Fort Scott, KS
NPI 1891304564 · NPPES record last updated Mar 6, 2024
Key facts
- NPI
- 1891304564
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 80316 (KS)
- Practice address
- 2322 S Main St
Fort Scott, KS 66701-3026 - Phone
- (888) 777-9170
- NPI assigned
- Jul 28, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Community Health Center of Southeast Kansas Inc
Practice addresses (Care Compare)
1017 E Market St
La Cygne, KS 66040-9102
Phone (913) 757-4575
2322 S Main St
Fort Scott, KS 66701-3026
Phone (622) 022-3804
3011 N Michigan St
Pittsburg, KS 66762-2546
Phone (620) 231-9873
3015 N Michigan St
Pittsburg, KS 66762-2546
601 E Washington St
Arma, KS 66712-4001
Phone (620) 347-4033
Hospital & facility affiliations
- Angels Care Home Health
- Mercy Hospital Pittsburg, Inc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220401001594 | KS | Practitioner - Nurse Practitioner | 9739571787 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 130840 | KS | MD | Registered Nurse |
| 2019007730 | MO | MD | Registered Nurse |
| 2021021278 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Center of Southeast Kansas Inc | Current |
Accepting new patients | |
| Community Health Center of Southeast Kansas Inc | Current |
Accepting new patients | |
| Community Health Center of Southeast Kansas, Inc. | Past | Accepting new patients | |
| Community Health Center of Southeast Kansas, Inc | Past | Accepting new patients |
Locations
601 E Washington St
Arma, KS 66712
Phone (620) 347-4033
2990 Military Ave
Baxter Springs, KS 66713
Phone (620) 856-2900
100 N Military Ave
Baxter Springs, KS 66713
102 Cline Rd
Coffeyville, KS 67337
Phone (620) 252-6989
1110 W 8th St
Coffeyville, KS 67337
Phone (620) 252-1798
801 W 8th St
Coffeyville, KS 67337
Phone (620) 251-4300
124 S Highschool Ave
Columbus, KS 66725
101 W Sycamore St
Columbus, KS 66725
Phone (620) 429-2101
2322 S Main St
Fort Scott, KS 66701
Phone (620) 223-0135
312 S Maple St
Garnett, KS 66032
Phone (785) 448-6988
1216 Hawaii Rd
Humboldt, KS 66748
Phone (620) 473-1002
3354 Highway 160
Independence, KS 67301
Phone (620) 331-1260
2051 N State St
Iola, KS 66749
Phone (620) 380-6400
203 N Kentucky St
Iola, KS 66749
1017 E Market St
Lacygne, KS 66040
Phone (913) 757-4575
302 N 1st St
Mound City, KS 66056
Phone (913) 795-2203
2100 Commerce Dr
Parsons, KS 67357
Phone (620) 421-2159
1978 E 4th St
Pittsburg, KS 66762
Phone (620) 670-3896
1011 S Mount Carmel Pl
Pittsburg, KS 66762
Phone (620) 231-6160
924 N Broadway St
Pittsburg, KS 66762
Phone (620) 231-6788
3011 N Michigan St
Pittsburg, KS 66762
Phone (620) 231-1960
11155 Tucker Rd
Pleasanton, KS 66075
Phone (913) 347-8110
Interoperability endpoints
- whitney.dickerson@chcsek.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 2019007730 | MO | |
| Registered Nurse | 163W00000X | 130840 | KS | |
| Family Nurse Practitioner | 363LF0000X | 80316 | KS | Yes |
| Family Nurse Practitioner | 363LF0000X | 2021021278 | MO |
Addresses
Primary practice location
2322 S Main St
Fort Scott, KS 66701-3026
Mailing address
PO Box 1832
Pittsburg, KS 66762-1832
Other practice location 1
3011 N Michigan St
Pittsburg, KS 66762-2546
Phone (206) 240-5668
Other names
- Whitney Dickerson
Other providers in Fort Scott, KS
- Hugo Dahlstrom
- Paul Lee Daniels
- Steven Davidson
- Heather Catherine Davis
- Donna Dewey
- Sasha Dillingham
- Courtney Brooke Dixon
- Djkierl, Inc.
- Dr, Steve C. Mitchell, Sr.
- Michele Louise Dunkeson
All providers in Fort Scott, KS · Family Nurse Practitioner in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 6, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.