Jordan Dickerson, NP
NPI 1093608515 · Nurse Practitioner · Tyler, TX
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jordan Dickerson, NP is a Nurse Practitioner provider in Tyler, TX (NPI 1093608515).
Provider details
- NPI number
- 1093608515
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- License
- 1204964 (TX)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-06-02
- Last updated
- 2025-07-15
- Certified
- 2025-07-15
Frequently asked questions
- What is Jordan Dickerson's NPI number?
- Jordan Dickerson's National Provider Identifier (NPI) is 1093608515, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jordan Dickerson's specialty?
- Jordan Dickerson is listed in the NPPES registry with a primary specialty of Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jordan Dickerson located?
- Jordan Dickerson's practice location on file with NPPES is 912 S Fleishel Ave, Tyler, TX 75701-2018.
- What is Jordan Dickerson's phone number?
- The practice phone number listed in the NPPES registry for Jordan Dickerson is (903) 592-6901.
- Does Jordan Dickerson accept Medicare?
- Jordan Dickerson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jordan Dickerson's NPI active?
- Yes — Jordan Dickerson's NPI (1093608515) is active in the NPPES registry as of the last update on 2025-07-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.