NPPES file of Aug 9, 2026

Jordan Danielle Dickerson, NP

Nurse Practitioner · Tyler, TX

Jordan Danielle Dickerson, NP is a nurse practitioner with a practice address in Tyler, Texas, and NPI 1093608515, issued on Jun 2, 2025. Check the license (Texas 1204964, as entered in NPPES) with the Texas board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1093608515
Name
Jordan Danielle Dickerson
Credential
NP
Primary taxonomy
Nurse Practitioner 363L00000X
License number
1204964 TX
Self-reported in NPPES; status is on the state search
Practice location
912 S Fleishel Ave, Tyler, TX 75701
Phone
(903) 592-6901
Enumerated
Jun 2, 2025
Record last updated
Jul 15, 2025
Medicare enrollment
Enrolled (PECOS I20250721003008); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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8 nearest nurse practitioner records → All 4,825 in Texas → Look up another NPI →

Also registered at 912 S Fleishel Ave

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Kimberly Brown, FNPNurse Practitioner1083084537
  2. Tim Castro, M.D.Internal Medicine Physician1447418538
  3. Cynthia Chaney, NPFamily Nurse Practitioner1114137262
  4. Luis Destarac, M.D.Pulmonary Disease Physician1477513927
  5. Susan Gallien, APRN NP-CFamily Nurse Practitioner1831354752
  6. George Gass, M.D.Pulmonary Disease Physician1710981196

Verify Jordan Danielle Dickerson in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Texas board licenses this profession
    Search for license 1204964    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Texas license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Bills Medicare through one group practice

  1. Etmc Physician Group, Inc.Tyler, TX

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Jordan Danielle Dickerson among 4,825 nurse practitioner records in Texas

Jordan Danielle Dickerson, NP is one of 4,825 nurse practitioner records with a practice address in Texas. 73% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2025, is newer than 92% of them.

  • NPI issued2025 · 92% of these records are older, 3% newer
  • In a Medicare fileYes · 73% of these records are
  • In the CMS Doctors and Clinicians fileYes · 54% of these records are
  • Graduated2024 · median 2018 among the 2,618 with a school on file
  • Record last updated2025 · 42% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363L00000X and a Texas practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

147 nurse practitioner records list a practice address in Tyler

They are 147 of the 5,531 NPPES records with a practice address in Tyler, and 4,825 nurse practitioner records in Texas.

All 4,825 in Texas → Every provider in Tyler → Nurse Practitioner nationwide →

The 8 nurse practitioner records with the nearest ZIP codes

  1. Christina Barnes, NPTyler, TX 757011558442376
  2. Constance Bentley, APRNTyler, TX 757011447243571
  3. Helen Cassel, RN NPCTyler, TX 757011851406326
  4. Kelly Cox, NPTyler, TX 757011356489264
  5. Ryan Gunn, NURSE PRACTITIONERTyler, TX 757011699940775
  6. Jean Harris, RN, FNP-BCTyler, TX 757011508884198
  7. Patricia Lane, ACNPTyler, TX 757011427055870
  8. David McCaskill, FNP-C, ACNPTyler, TX 757011558353169

Common questions

What is Jordan Danielle Dickerson, NP's NPI number?

Jordan Danielle Dickerson, NP's National Provider Identifier (NPI) is 1093608515, issued on Jun 2, 2025. An NPI identifies a provider in billing; it is not a license.

Where is Jordan Danielle Dickerson, NP located?

The NPPES record lists a practice address at 912 S Fleishel Ave, Tyler, TX, 75701. Phone: (903) 592-6901. Providers update this record themselves, so call before visiting.

How can I verify Jordan Danielle Dickerson, NP's license?

NPPES lists Texas license number 1204964, as entered by the provider. Search the Texas board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.