Mary Dickerson, FNP
NPI 1790377018 · Nurse Practitioner · Hattiesburg, MS
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mary Dickerson, FNP is a Nurse Practitioner provider in Hattiesburg, MS (NPI 1790377018).
Provider details
- NPI number
- 1790377018
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 908181 (MS)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
5 yrs in NPPES registry
- Profile completeness33% of score
100% of core fields populated
- Practice footprint20% of score
2 documented practice locations
- Open Payments transparency13% of score
Has Open Payments disclosures (2024)
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.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$96 across 5 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 4210 Lincoln RdHattiesburg, MS 39402-3093Phone: (601) 261-3500Fax: (601) 261-3583
Registry dates
- Enumerated
- 2021-02-08
- Last updated
- 2023-04-19
- Certified
- 2023-04-19
Frequently asked questions
- What is Mary Dickerson's NPI number?
- Mary Dickerson's National Provider Identifier (NPI) is 1790377018, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mary Dickerson's specialty?
- Mary Dickerson is listed in the NPPES registry with a primary specialty of Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Mary Dickerson located?
- Mary Dickerson's practice location on file with NPPES is 6051 U S Highway 49, Hattiesburg, MS 39401-7200.
- What is Mary Dickerson's phone number?
- The practice phone number listed in the NPPES registry for Mary Dickerson is (601) 288-7000.
- Does Mary Dickerson accept Medicare?
- Mary Dickerson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mary Dickerson's NPI active?
- Yes — Mary Dickerson's NPI (1790377018) is active in the NPPES registry as of the last update on 2023-04-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.