Individual provider Active NPI

Kasey Stickler, M.D.

  • Family Medicine Physician
  • Huntington, WV
National Provider Identifier
1285169565
Registry record updated Nov 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
29732 Issued in WV
Practice address
1600 Medical Center Dr Ste 1000
Huntington, WV 25701-3656
Phone
(304) 691-1165
NPI assigned
Apr 25, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X 29732 WV
Family Medicine Physician 207Q00000X 29732 WV Primary

Addresses

Primary practice location

1600 Medical Center Dr Ste 1000
Huntington, WV 25701-3656

Mailing address

1600 Medical Center Dr Ste 1000
Huntington, WV 25701-3656
Phone (304) 691-1165

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kasey.stickler@marshall.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210716002056 WV Practitioner - Family PracticePractitioner - Sports Medicine 6204104714 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
JC Edwards School of Medicine, Marshall University, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Physicians and Surgeons, IncGroup PAC ID 2961315734, 379 clinicians

Practice addresses (Care Compare)

1600 Medical Ctr Dr
Huntington, WV 25701-3656
Phone (304) 691-8850

Hospital & facility affiliations

  • St Mary'S Home Health Service Home health agency, Huntington, WV, CCN 517055
  • Cabell Huntington Hospital, Inc Hospital, Huntington, WV, CCN 510055
  • St Marys Medical Center Hospital, Huntington, WV, CCN 510007

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
University Physicians & Surgeons, Inc. CurrentSince Aug 16, 2021 Accepting new patients
University Physicians & Surgeons, Inc Family Medicine CurrentSince Aug 16, 2021 Accepting new patients
Cabell Huntington Hospital Inc Past Accepting new patients

Locations

659 Central Ave
Barboursville, WV 25504
Phone (304) 691-6878

1600 Medical Center Dr
Ste 1000
Huntington, WV 25701
Phone (304) 691-1165

2211 3rd Ave
Huntington, WV 25703
Phone (304) 691-1880

1600 Medical Center Dr
Ste 1500
Huntington, WV 25701
Phone (304) 691-1100

1600 Medical Center Dr
Ste 3500
Huntington, WV 25701
Phone (304) 691-1300

1448 10th Ave
Ste 304
Huntington, WV 25701
Phone (304) 691-6381

1600 Medical Center Dr
Huntington, WV 25701
Phone (304) 691-1100

4600 Route 152
Lavalette, WV 25535
Phone (304) 697-9460

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1493078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637625600000",
    "number": "1285169565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 MEDICAL CENTER DR STE 1000",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013656",
            "telephone_number": "304-691-1165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 MEDICAL CENTER DR STE 1000",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013656",
            "telephone_number": "304-691-1165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STICKLER",
        "first_name": "KASEY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-25",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "WV",
            "license": "29732",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "29732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kasey.stickler@marshall.cernerdirect.com",
            "affiliation": "N",
            "address_1": "1600 Medical Center Dr Ste 1000",
            "city": "Huntington",
            "state": "WV",
            "country_code": "US",
            "postal_code": "257013656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

Verify at the official NPI Registry.