Tanner William Dixon, FNP-C
NPI 1407644875ActiveIndividual· Nurse Practitioner, Family· Hoboken, NJ
Nurse Practitioner, Family (FNP-C) with Msk Monmouth and 2 other groups, practicing in Hoboken, New Jersey. Enrolled in Medicare as practitioner - nurse practitioner.
Overview
| NPI | 1407644875 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP-C |
| Sole proprietor | Yes |
| NPI issued | Apr 28, 2025 |
| Last updated in NPPES | Apr 28, 2025 |
| Certified by provider | Apr 27, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 26NJ15306800 | NJ |
| Nurse Practitioner, Family | 363LF0000X | 356513 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (NJ) |
|---|
Education and affiliations
| Graduation year | 2024 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical groups
- Msk MonmouthMiddletown, NJ · 295 clinicians
- Msk BergenMontvale, NJ · 255 clinicians
- Memorial Sloan Kettering Cancer Center at Basking Ridge New JerseyBasking Ridge, NJ · 229 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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