Dustin Duane Nickerson, FNP-C in Phoenix, AZ - Medicare Nurse Practitioner

Dustin Duane Nickerson, FNP-C is a medicare enrolled "Nurse Practitioner" in Phoenix, Arizona. He graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Southwest Kidney Institute Plc and his current practice location is 2610 N 3rd St, Phoenix, Arizona. You can reach out to his office (for appointments etc.) via phone at (480) 610-6100.

Dustin Duane Nickerson is licensed to practice in Arizona (license number AP11349) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1760988224.

Contact Information

	Dustin Duane Nickerson, FNP-C
	2610 N 3rd St, Phoenix, AZ 85004-1102
	(480) 610-6100
	(480) 610-6189

Map and Direction

Provider's Profile

Full Name	Dustin Duane Nickerson
Gender	Male
Speciality	Nurse Practitioner
Experience	6 Years
Location	2610 N 3rd St, Phoenix, Arizona
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dustin Duane Nickerson graduated from nursing school in 2018

NPI Data:

NPI Number: 1760988224
Provider Enumeration Date: 04/03/2018
Last Update Date: 09/26/2018

Medicare PECOS Information:

PECOS PAC ID: 2567716640
Enrollment ID: I20181107002975

Medical Identifiers

Medical identifiers for Dustin Duane Nickerson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760988224	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WC0200X	Registered Nurse - Critical Care Medicine	RN (Arizona)	Secondary
363L00000X	Nurse Practitioner	AP11349 (Arizona)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Dignity Health Arizona General Hospital	Mesa, AZ	Hospital
Banner Ironwood Medical Center	Queen creek, AZ	Hospital
Banner Goldfield Medical Center	Apache junction, AZ	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southwest Kidney Institute Plc	8224930987	79

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dustin Duane Nickerson allows following entities to bill medicare on his behalf.

Entity Name	Southwest Kidney Institute Plc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659316008 PECOS PAC ID: 8224930987 Enrollment ID: O20040211001069

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dustin Duane Nickerson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dustin Duane Nickerson, FNP-C 2149 E Warner Rd Ste 102, Tempe, AZ 85284-3495 Ph: (480) 610-6100	Dustin Duane Nickerson, FNP-C 2610 N 3rd St, Phoenix, AZ 85004-1102 Ph: (480) 610-6100

Reviews and Comments

Nurse Practitioner Nurses in Phoenix, AZ

Ms. Karla D Wax, N.P.-C. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1331 N 7th St, Suite 275, Phoenix, AZ 85006 Phone: 602-254-3151 Fax: 602-256-9581
Miss Kimara Vaughn, APRN-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2770 E Van Buren St, Phoenix, AZ 85008 Phone: 602-273-9999
Gia Kay Thompson, F.N.P Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3003 N Central Ave, Suite 800, Phoenix, AZ 85012 Phone: 602-462-1132 Fax: 602-462-1186
Michele A Riep, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3003 N Central Ave, Suite 800, Phoenix, AZ 85012 Phone: 602-462-1132
Tyler Ann Brockhoff, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2632 E Thomas Rd # 100, Phoenix, AZ 85016 Phone: 602-957-2507
Rebecca Anne Shaw, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16620 N 40th St Ste E1, Phoenix, AZ 85032 Phone: 602-464-9576 Fax: 480-428-0475
Mrs. Sonia Teresa Brunson, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1717 E Morten Ave Unit 54, Phoenix, AZ 85020 Phone: 925-413-9919

Dustin Duane Nickerson, FNP-C - Medicare Nurse Practitioner in Phoenix, AZ