Michele R Dickison
ST JOSEPH HOSPITAL LLC


Address: 1250 Idaho St, Lewiston, ID 83501-1965
Phone: 2087437427

Michele R Dickison (NPI# 1841687001, PAC ID# 5991012833) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1841687001
PAC ID by PECOS 5991012833
Professional Enrollment ID I20150910000042
Full Name Michele R Dickison
Organization Legal Name ST JOSEPH HOSPITAL LLC
Address 1250 Idaho St
Lewiston
ID 83501-1965
Phone Number 2087437427
Gender F
Graduation Year 2015
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 8325325806
Number of Group Practice Members 70
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
130003 ST JOSEPH REGIONAL MEDICAL CENTER
131327 GRITMAN MEDICAL CENTER
501331 PULLMAN REGIONAL HOSPITAL
131320 CLEARWATER VALLEY HOSPITAL & CLINICS
131321 ST MARYS HOSPITAL AND CLINICS

Other Locations

Address Phone Organization
1250 Idaho St, Lewiston, ID 83501-1965 2087437427 ST JOSEPH HOSPITAL LLC

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_EP_1 e-Prescribing 97%
ACI_EC_TRANS_HIE_1 Health Information Exchange 44%
ACI_EC_TRANS_MR_1 Medication Reconciliation 98%
ACI_EC_TRANS_PEA_1 Provide Patient Access 91%
ACI_EC_TRANS_PEA_2 View, Download, or Transmit (VDT) 3%
ACI_EC_TRANS_PHCDRR_3 Specialized Registry Reporting %
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %
ACI_EC_TRANS_PSE_1 Patient-Specific Education 33%
ACI_EC_TRANS_SM_1 Secure Messaging 0%

Organization Information

Organization Legal Name ST JOSEPH HOSPITAL LLC
Physicians 61

Physicians with the same organization

Name Specialty Organization Address
Kyle James Daly Certified Registered Nurse Anesthetist (crna) St Joseph Hospital LLC 415 6th St, Lewiston, ID 83501-2431
Clinton R Morgan Hematology/oncology St Joseph Hospital LLC 1250 Idaho St, Lewiston, ID 83501-1965
Barry Smith General Surgery St Joseph Hospital LLC 307 Saint Johns Way, Suite 4, Lewiston, ID 83501-2435
Barbara K Davis Internal Medicine St Joseph Hospital LLC 222 Southway Ave, Suite C, Lewiston, ID 83501-2703
David B Souvenir Infectious Disease St Joseph Hospital LLC 415 6th St, Lewiston, ID 83501-2431
Lori Beth Bennett-penn Psychiatry St Joseph Hospital LLC 415 6th St, Lewiston, ID 83501-2431
Tyler Douglas Clark Family Medicine St Joseph Hospital LLC 307 Saint Johns Way, Suite 11, Lewiston, ID 83501-2435
Matthew George Krahn Certified Registered Nurse Anesthetist (crna) St Joseph Hospital LLC 415 6th St, Lewiston, ID 83501-2431
Amy Dawnette Johnson Nurse Practitioner St Joseph Hospital LLC 307 Saint Johns Way, Suite 17, Lewiston, ID 83501-2435
Donald J Greggain Family Medicine St Joseph Hospital LLC 307 Saint Johns Way, Lewiston, ID 83501-2435

Office Location

Street Address 1250 IDAHO ST
City LEWISTON
State ID
Zip 83501-1965

Physicians in the same location

Name Specialty Organization Address
Clinton R Morgan Hematology/oncology St Joseph Hospital LLC 1250 Idaho St, Lewiston, ID 83501-1965
Alice Myra Forsythe Medical Oncology St Joseph Hospital LLC 1250 Idaho St, Lewiston, ID 83501-1965
John Siebel Hematology/oncology St Joseph Hospital LLC 1250 Idaho St, Lewiston, ID 83501-1965

Physicians in the same zip code

Name Specialty Organization Address
Lori L Holder Clinical Social Worker 504 Main St, Suite 472, Lewiston, ID 83501-1806
Thomas R Boyer Chiropractic 717 D St, Lewiston, ID 83501-1826
Rebecca A Bohnenkamp Clinical Social Worker 523 /2 Main St, Suite 7, Lewiston, ID 83501-1870
Kristy Anne Kuehfuss Psychologist, Clinical 633 Main St, Suite B2, Lewiston, ID 83501-1882
Debra L Street Clinical Social Worker 0309 2nd St, Lewiston, ID 83501-2163
Mark F Yama Psychologist, Clinical 428 6th Ave, Lewiston, ID 83501-2355
Joel Patrick Sheehan Ruhle Clinical Social Worker St Joseph Hospital LLC 428 6th Ave, Lewiston, ID 83501-2355
Amy Kelley Clinical Social Worker St Joseph Hospital LLC 428 6th Ave, Lewiston, ID 83501-2355
Pamela Jean Wieters Clinical Social Worker St Joseph Hospital LLC 428 6th Ave, Lewiston, ID 83501-2355
Angie Shantie Clinical Social Worker St Joseph Hospital LLC 428 6th Ave, Lewiston, ID 83501-2355
Find all physicians in zip 83501

Competitor

Search similar physicians

City LEWISTON
Zip Code 83501
Specialty NURSE PRACTITIONER
City + Specialty LEWISTON + NURSE PRACTITIONER

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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