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

Mrs. Madeline McCluer Dickerson, AG-ACNP

Individual provider Acute Care Nurse Practitioner · NPI 1104220029

Mrs. Madeline McCluer Dickerson, AG-ACNP is a Nurse Practitioner in Fort Worth, Texas. Qualified in 2014, 12 years ago. Practices with Texas Health Physicians Group, a 1,356-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
12
Licensed in
TX
In the registry since
2014
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Practice location Address checks out

800 5th Ave Ste 500
Fort Worth, TX 76104-7304
Phone: (817) 250-4280
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence AP126665 (TX)

Record details

NPI number1104220029
Entity typeIndividual (Type 1)
GenderFemale
Credentials AG-ACNP
Sole proprietorNo
NPI enumeratedOctober 21, 2014
Last updated in NPPESFebruary 21, 2022
Certification dateFebruary 21, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Texas Health Physicians Group — 1356 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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