Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Mrs. Tina Marie Dickinson, AGPCNP-BC

Individual provider Acute Care Nurse Practitioner · NPI 1306337381

Mrs. Tina Marie Dickinson, AGPCNP-BC is a Nurse Practitioner in Newark, New York. Qualified in 2017, 9 years ago. Practices with Clifton Springs Sanitarium Co, a 226-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
9
Licensed in
NY
In the registry since
2018
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1200 Driving Park Ave
Newark, NY 14513-1090
Phone: (315) 359-2847
Fax: (315) 359-2806
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence F308478-1 (NY)

Record details

NPI number1306337381
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGPCNP-BC
Sole proprietorYes
NPI enumeratedMay 24, 2018
Last updated in NPPESSeptember 15, 2022
Certification dateSeptember 15, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Clifton Springs Sanitarium Co — 226 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients105
Services billed 210 a service is one billed item, such as a visit, a test or a procedure
Average patient age74

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Clifton Springs Sanitarium Co

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 226 clinicians in the practice; 12 are shown here.

Other providers in Newark