Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Audrey A. Dickerson, PA-C

Individual provider Physician Assistant · NPI 1902258866

Audrey A. Dickerson, PA-C is a Physician Assistant in Indianapolis, Indiana. Qualified in 2016, 10 years ago. Practices with Raphael Health Center Inc, a 14-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
10
Licensed in
IN
In the registry since
2016
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

401 E 34th St
Indianapolis, IN 46205-3754
Phone: (317) 926-1507
Fax: (317) 926-1508
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10002041A (IN)

Record details

NPI number1902258866
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 5, 2016
Last updated in NPPESJune 2, 2023
Certification dateJune 2, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Raphael Health Center Inc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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