Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dustin Duane Nickerson, FNP-C

Individual provider Critical Care Medicine Registered Nurse · NPI 1760988224

Dustin Duane Nickerson, FNP-C is a Nurse Practitioner in Phoenix, Arizona. Qualified in 2018, 8 years ago. Practices with Southwest Kidney Institute PLC, a 100-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
8
Licensed in
AZ
In the registry since
2018
Specialties on file
2
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

2610 N 3rd St
Phoenix, AZ 85004-1102
Phone: (480) 610-6100
Fax: (480) 610-6189
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 21367 E Via Del Rancho, Queen Creek, AZ 85142-5260 — (480) 329-0706

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence AP11349 (AZ)
Critical Care Medicine Registered Nurse Taxonomy 163WC0200X · Licence RN (AZ)

Record details

NPI number1760988224
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-C
Sole proprietorYes
NPI enumeratedApril 3, 2018
Last updated in NPPESSeptember 26, 2018

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Southwest Kidney Institute Plc — 100 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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