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Active NPI 1124501630 Individual Practitioner Female Practitioner

Kesli Anne Dickens , PA-C

Physician Assistant • Tacoma, WA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Kesli Dickens, PA-C is a certified Physician Assistant practicing in Tacoma, WA. With approximately 7 years of clinical experience since graduating from University Of Washington School Of Medicine in 2019, Kesli Dickens delivers high-quality medical care to the local community at 1702 TACOMA AVE S STE A.

Kesli Dickens maintains professional affiliations with Ideal Telemedicine Services Llc, Ideal Option Pllc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include testing for presence of drug, by chemistry analyzers, established patient outpatient office visit, drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1702 Tacoma Ave S Ste A

Tacoma, WA 984021700

Telephone 8775221275
Fax 8338887145
Associated Practice Facility / Clinic
🏢 Ideal Option, Pllc Facility NPI 1457788275

Medicare Profile & Education

Medical School

University Of Washington School Of Medicine

Graduation Year

2019

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Tacoma, WA

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
7 Yrs -5.8 yrs vs City Avg
City Avg: 12.8 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
328 Specialists

Practicing in Tacoma, WA (3774 Statewide)

Telehealth Adoption Rate
9.1% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
72.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Dickens (7 Years) 7 Yrs
Tacoma Specialty Average (12.8 Years) 12.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
80307 Testing for presence of drug, by chemistry analyzers
118 20 $235.17 $59.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
80 37 $337.19 $106.77
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms
60 15 $420.00 $112.14
99213 Established patient office or other outpatient visit, typically 15 minutes
24 14 $255.00 $70.71
G0481 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms
23 11 $543.91 $135.95

Medical Specialties & State Licenses

CMS Verified: 2025-03-10
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WA PA61395609

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License AK 149515

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1704447 (AK)
Commercial Insurance / Payer ID State Of Alaska
149515 (AK)

Hospital & Practice Group Affiliations

Ideal Option Pllc

1702 Tacoma Ave S, Tacoma, WA 984021700

Phone: 5095709302

Ideal Option Pllc

401 W Main St, Walla Walla, WA 993622837

Phone: 50922212753049

Ideal Option Pllc

1221 Noble St, Fairbanks, AK 997014961

Phone: 87752212753049

Ideal Option Pllc

406 Se 131st Ave, Vancouver, WA 986834031

Phone: 5092221275

Ideal Option Pllc

1811 Howard Rd, Auburn, WA 980026311

Phone: 87752212753049

Ideal Option Pllc

500 Sw 7th St, Renton, WA 980572983

Phone: 8775221275

Ideal Option Pllc

1520 Parker Way, Mount Vernon, WA 982732595

Phone: 8775221275

Ideal Option Pllc

208 E Francis Ave, Spokane, WA 992081071

Phone: 5092221275

Ideal Option Pllc

1215 N Mcdonald Rd, Spokane Valley, WA 992161557

Phone: 8775221275

Ideal Telemedicine Services Llc

1221 Noble St, Fairbanks, AK 997014961

Phone: 8775221275

Ideal Option Pllc

8116 112th St Ct E, Puyallup, WA 983737816

Phone: 5095709302

Ideal Option Pllc

8508 W Gage Blvd, Kennewick, WA 993368106

Phone: 5092221275

Ideal Option Pllc

602 N 39th Ave, Yakima, WA 989026398

Phone: 8775221275

Ideal Option Pllc

4301 Hoyt Ave, Everett, WA 982032316

Phone: 87752212752123

Ideal Option Pllc

1215 120th Ave Ne, Bellevue, WA 980052135

Phone: 87752212753049

Ideal Telemedicine Services Llc

3035 E Palmer Wasilla Hwy, Wasilla, AK 996547274

Phone: 5095709302

Ideal Telemedicine Services Llc

416 Frontage Rd, Kenai, AK 996117770

Phone: 8775221275

Ideal Option Pllc

3800 Byron Ave, Bellingham, WA 982292877

Phone: 87752212755049

Ideal Telemedicine Services Llc

2421 E Tudor Rd, Anchorage, AK 995071166

Phone: 8775221275

Ideal Option Pllc

2421 E Tudor Rd, Anchorage, AK 995071166

Phone: 50922212753049

Ideal Option Pllc

3035 E Palmer Wasilla Hwy, Wasilla, AK 996547274

Phone: 5095709302

Ideal Option Pllc

7315 212th St Sw, Edmonds, WA 980267610

Phone: 8775221275

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Kelly Donlin , ARNP

Nurse Practitioner - Family

NPI 1013639145

Advanced Registered Nurse Practitioner

Sarah Pedersen

Physician Assistant

NPI 1023494226
Shawnda Jennings , PSS

Peer Specialist

NPI 1023874617
Michelle Meako , ARNP

Nurse Practitioner

NPI 1043545254

Advanced Registered Nurse Practitioner

Ty Bradford , PA-C

Physician Assistant

NPI 1053075077

Physician Assistant (Certified)

Elisabeth Meyer , PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1053878645

Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

16 Historical Events
📍
Updated Business Mailing Address March 10, 2025

Registered at 500 SW 7TH ST STE A205, RENTON, WA 980572983 (Tel: 8775221275)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 10, 2025

Physician Assistant (License #149515 in AK)

📍
Updated Practice Location November 12, 2024

Registered at 1702 TACOMA AVE S STE A, TACOMA, WA 984021700 (Tel: 8775221275)

📍
Updated Practice Location September 25, 2023

Registered at 5920 100TH ST SW STE 26, LAKEWOOD, WA 984992751 (Tel: 8775221275)

📍
Updated Business Mailing Address September 25, 2023

Registered at 5920 100TH ST SW STE 26, LAKEWOOD, WA 984992751 (Tel: 8775221275)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 25, 2023

Physician Assistant (License #PA61395609 in WA)

👤
Provider Name / Credentials Updated August 25, 2022

Recorded as KESLI DICKENS, PA-C

📍
Updated Practice Location March 23, 2020

Registered at 1200 SALMON CREEK LANE, JUNEAU, AK 99801 (Tel: 9074634040)

📍
Updated Business Mailing Address March 23, 2020

Registered at 3100 CHANNEL DR STE 300, JUNEAU, AK 998017837 (Tel: 9074634074)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 23, 2020

Physician Assistant (License #149515 in AK)

NPI Profile Active September 11, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location September 11, 2018

Registered at 4311 11TH AVE NE STE 200, SEATTLE, WA 981056367 (Tel: 2066164001)

📍
Updated Business Mailing Address September 11, 2018

Registered at 4311 11TH AVE NE STE 200, SEATTLE, WA 981056367 (Tel: 2066164001)

👤
Provider Name / Credentials Updated September 11, 2018

Recorded as KESLI BICKLER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 11, 2018

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration September 11, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124501630
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 11, 2018
Last Update: March 10, 2025
Sole Proprietor: No

Mailing Address

500 Sw 7th St Ste A205

Renton, WA 980572983

Phone: 8775221275

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.