Kelcie Dickerson, PA
NPI 1992105696ActiveIndividual· Physician Assistant· Twin Falls, ID
Physician Assistant (PA) in Twin Falls, Idaho, licensed in ID, with an NPI issued in August 2014. 72 Medicare patients in 2024, $5,017 paid; nearly all of their 147 Part D prescriptions were generic (96%).
Overview
| NPI | 1992105696 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | Yes |
| NPI issued | Aug 29, 2014 |
| Last updated in NPPES | Jul 23, 2026 |
| Certified by provider | Jul 23, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA-1345 | ID |
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 (ID) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 72 |
|---|---|
| Services billed | 82 across 10 procedure codes |
| Paid by Medicare | $5,017 |
Part D prescriptions in 2024
| Prescriptions (claims) | 147 · 149 30-day fills |
|---|---|
| Patients | 95 |
| Total drug cost | $2,274 |
| Generic share | 96% of claims |
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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All 64 physician assistants in Twin Falls · All physician assistants in Idaho