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

Individual provider Physician Assistant · NPI 1417135054

Sharon Marie Dickinson, PA is a Physician Assistant in Peoria, Arizona. Qualified in 2007, 19 years ago. Practices with Banner - University Physician Specialists LLC, a 347-clinician group and accepts Medicare assignment. Licensed in Arizona and Oregon.

Years since qualifying
19
Licensed in
AZ, OR
In the registry since
2008
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

13128 N 94th Dr Ste 100
Peoria, AZ 85381-4252
Phone: (623) 876-8816
Fax: (623) 298-0168
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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 6109 (AZ)
Physician Assistant Taxonomy 363A00000X · Licence PA01314 (OR)

Record details

NPI number1417135054
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 6, 2008
Last updated in NPPESSeptember 23, 2016

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Banner - University Physician Specialists Llc — 347 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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