KELCIE DICKERSON PA
NPI 1992105696
Physician Assistant in Twin Falls, ID
About Kelcie Dickerson Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELCIE DICKERSON PA (NPI 1992105696) is an individual physician assistant in Twin Falls, Idaho, licensed in Idaho (PA-1345) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS, is affiliated with St Lukes Magic Valley Medical Center, and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kelcie Dickerson Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Lukes Magic Valley Medical Center
Acute Care Hospitals · Twin Falls, IDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 83301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TWIN FALLS, ID 83301
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kelcie Dickerson's NPI number?
The NPI number for Kelcie Dickerson is 1992105696. It was assigned to this individual provider in the NPPES registry on August 29, 2014.
Where is Kelcie Dickerson located?
Kelcie Dickerson practices at 801 Pole Line Rd W, Twin Falls, ID 83301. The listed phone number is (208) 814-1440.
What is Kelcie Dickerson's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Kelcie Dickerson enrolled in Medicare?
Yes. Kelcie Dickerson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Kelcie Dickerson accept?
Health plans from Moda Health Plan, Inc. and Providence Health Plan list Kelcie Dickerson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Kelcie Dickerson affiliated with any hospitals?
According to CMS data, Kelcie Dickerson is affiliated with St Lukes Magic Valley Medical Center.
When was this NPI record last updated?
The NPPES record for Kelcie Dickerson was last updated on July 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kelcie Dickerson, PA · NPI 1992105696
Physician Assistant physician in Twin Falls, Idaho. Individual provider, active in the CMS NPPES registry since August 29, 2014.
## Identity
- **NPI:** 1992105696 (Entity type: Individual)
- **Enumerated:** August 29, 2014
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** PA-1345 (Idaho)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 801 POLE LINE RD W, Twin Falls, ID 83301-5799
- **Phone:** (208) 814-1440 · **Fax:** (208) 814-1924
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** July 23, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1992105696) · Data from the CMS NPPES public registry.