Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1700978319 Individual Practitioner Female Practitioner

Dr. Stacey D Dickenson , MD

Pediatrics • Beckley, WV

Professional Overview & Biography Verified Profile Summary

Dr. Stacey Dickenson, MD is a registered healthcare professional specializing in Pediatrics in Beckley, WV. Practice services are available at 252 RURAL ACRES DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

252 Rural Acres Dr

Beckley, WV 258013503

Telephone 3042528551
Fax 3042521790
Associated Practice Facility / Clinic
🏢 Community Health Systems Inc Facility NPI 1386682540

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Beckley, WV

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.5 Yrs
State Avg: 24.2 Yrs
Regional Practice Density
11 Specialists

Practicing in Beckley, WV (294 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-01-09
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License WV 20007

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
58599 (WV)
Medicaid State Provider ID
6700460000 (WV)
Medicaid State Provider ID
54504 (WV)
Commercial Insurance / Payer ID Bcbs
001721686
Commercial Insurance / Payer ID Health Net
G21540
Commercial Insurance / Payer ID Unitedhealtlhcare
2136163
Commercial Insurance / Payer ID Carelink
323741

Practice Associates & Co-Workers

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

19 Associated Practitioners
Dr. Shrikant Bembalkar , MD

Internal Medicine - Pulmonary Disease

NPI 1023100294

Doctor of Medicine (M.D.)

Zachary Vance , PA-C

Physician Assistant

NPI 1164670105

Physician Assistant (Certified)

NPI 1285726844

Doctor of Osteopathic Medicine (D.O.)

Jessica Heis , APRN, FNP-C

Nurse Practitioner

NPI 1295380822

Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

NPI 1295827814

Doctor of Osteopathic Medicine (D.O.)

Garland Ward , PA-C

Physician Assistant - Medical

NPI 1295982684

Physician Assistant (Certified)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 17, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 17, 2007

Registered at 252 RURAL ACRES DR, BECKLEY, WV 258013503 (Tel: 3042528551)

📍
Updated Business Mailing Address July 17, 2007

Registered at 252 RURAL ACRES DR, BECKLEY, WV 258013503 (Tel: 3042528551)

👤
Provider Name / Credentials Updated July 17, 2007

Recorded as STACEY DICKENSON, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 17, 2007

Pediatrics (License #20007 in WV)

🟢
Initial NPI Registration & Enumeration September 29, 2006

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: 1700978319
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 29, 2006
Last Update: January 09, 2025
Sole Proprietor: No

Mailing Address

252 Rural Acres Dr

Beckley, WV 258013503

Phone: 3042528551

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.