Jacob Dickerson, DNAP
NPI 1013659960 · Certified Registered Nurse Anesthetist · Tahlequah, OK
Enrolled with Medicare as Practitioner - Certified Registered Nurse Anesthetist (crna) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jacob Dickerson, DNAP is a Certified Registered Nurse Anesthetist provider in Tahlequah, OK (NPI 1013659960).
Provider details
- NPI number
- 1013659960
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- DNAP
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
4 yrs in NPPES registry
- Profile completeness28% of score
83% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
36 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Anesthesia for Other Procedure on Large Bowel Using an Endoscope00811 | 25 | $89 |
| Anesthesia for Procedure on Small and Large Bowel Using an Endoscope00813 | 11 | $109 |
Typical Medicare-allowed amounts for these services range $89–$109 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Additional practice locations (1)
- 901 S National AveSpringfield, MO 65897-0001Phone: (417) 836-5000
Registry dates
- Enumerated
- 2022-04-11
- Last updated
- 2022-07-10
- Certified
- 2022-07-10
Frequently asked questions
- What is Jacob Dickerson's NPI number?
- Jacob Dickerson's National Provider Identifier (NPI) is 1013659960, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacob Dickerson's specialty?
- Jacob Dickerson is listed in the NPPES registry with a primary specialty of Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jacob Dickerson located?
- Jacob Dickerson's practice location on file with NPPES is 100 S Bliss Ave, Tahlequah, OK 74464-2512.
- What is Jacob Dickerson's phone number?
- The practice phone number listed in the NPPES registry for Jacob Dickerson is (918) 458-3100.
- Does Jacob Dickerson accept Medicare?
- Jacob Dickerson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jacob Dickerson's NPI active?
- Yes — Jacob Dickerson's NPI (1013659960) is active in the NPPES registry as of the last update on 2022-07-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.