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

Cynthia G. Dicus, FNP

Individual provider Family Nurse Practitioner · NPI 1205110301

Cynthia G. Dicus, FNP is a Nurse Practitioner in Rolla, Missouri. Qualified in 2011, 15 years ago. Practices with Missouri Baptist Hospital of Sullivan, a 40-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
15
Licensed in
MO
In the registry since
2011
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

1605 Martin Springs Dr Ste 230
Rolla, MO 65401-2931
Phone: (573) 458-6350
Fax: (573) 458-6764
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • Po Box 100, Bourbon, MO 65441-0100 — (573) 732-5140
  • Po Box 100, Bourbon, MO 65441-0100 — (573) 732-5140
  • 240 College St, Bourbon, MO 65441-8308 — (573) 732-5140
  • 965 Mattox Dr, Sullivan, MO 63080-2365 — (573) 860-6000

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2011034127 (MO)
Nurse Practitioner Taxonomy 363L00000X · Licence 2011034127 (MO)

Record details

NPI number1205110301
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedOctober 6, 2011
Last updated in NPPESSeptember 26, 2025
Certification dateSeptember 26, 2025
Mailing addressPo Box 2580, Springfield, MO 65801-2580

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Missouri Baptist Hospital Of Sullivan — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Rolla