Kesli Anne Dickens, PA-C
NPI 1124501630ActiveIndividual· Physician Assistant· Tacoma, WA
Physician Assistant (PA-C) in Tacoma, Washington, trained at University of Washington School of Medicine (class of 2019). Their prescriptions cost Medicare Part D more than their services did: $40,638 for 351 claims, against $26,297 paid for services in 2024.
Overview
| NPI | 1124501630 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Sep 11, 2018 |
| Last updated in NPPES | Mar 10, 2025 |
| Certified by provider | Mar 10, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA61395609 | WA |
| Physician Assistant | 363A00000X | 149515 | AK |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (AK); Practitioner - Physician Assistant (OR); Practitioner - Physician Assistant (TX); Practitioner - Physician Assistant (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 51 |
|---|---|
| Services billed | 351 across 22 procedure codes |
| Paid by Medicare | $26,297 |
Part D prescriptions in 2024
| Prescriptions (claims) | 351 · 351 30-day fills |
|---|---|
| Patients | 125 |
| Total drug cost | $40,638 |
| Generic share | 90% of claims |
Education and affiliations
| Medical school | University of Washington School of Medicine |
|---|---|
| Graduation year | 2019 |
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical groups
- Ideal Option PLLCLongview, WA · 91 clinicians
- Ideal Telemedicine Services LLCCoeur D Alene, ID · 38 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other physician assistants in Tacoma
- 1003843525
- 1053324186
- 1083948731
- 1114131000
- 1144733668
- 1164709085
- 1174296313
- 1174793590
- 1275520066
- 1285142315
- 1295701803
- 1295846574
All 332 physician assistants in Tacoma · All physician assistants in Washington