Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carol Ann Dickerson, ARNP

Individual provider Gerontology Nurse Practitioner · NPI 1568434173

Carol Ann Dickerson, ARNP is a Nurse Practitioner in Overland Park, Kansas. Qualified in 1997, 29 years ago. Accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
29
Licensed in
MO
In the registry since
2006
What do these letters mean?
ARNP — Advanced Registered Nurse Practitioner
The title some states use for an advanced practice nurse.

See every abbreviation used in this directory →

Practice location Address checks out

11661 College Blvd Ste 100
Overland Park, KS 66210-4104
Phone: (816) 276-6450
Fax: (816) 276-6455
Show map & directions

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

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 104716 (MO)

Record details

NPI number1568434173
Entity typeIndividual (Type 1)
GenderFemale
Credentials ARNP
Sole proprietorNo
NPI enumeratedFebruary 7, 2006
Last updated in NPPESJanuary 25, 2023
Certification dateJanuary 25, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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