Kelley Marie Dickson, DO – Family Medicine Physician

Key facts

NPI: 1366071425
Entity type: Individual (NPI type 1)
Primary specialty: Family Medicine Physician 207Q00000X
License: OS022928 (PA)
Practice address: 1260 E. Woodland Ave
Ste 200
Springfield, PA 19064-3956
Phone: (610) 690-4490
Fax: (610) 328-9391
NPI assigned: Apr 2, 2020
Sex: Female
Sole proprietor: No

Organizations & group practices 8

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.

Clinical Specialty Associates Hospice and Palliative Medicine (Internal Medicine) Physician · Bala Cynwyd, PA · NPI 1184431900

Medicare reassignment Care Compare group NPD (past) PA
Chespenn Health Services Federally Qualified Health Center (FQHC) · Chester, PA · NPI 1750329603

Medicare reassignment NPD PA
Prospect Health Access Network, Inc. Emergency Medicine Physician · Chester, PA · NPI 1568819084

Medicare reassignment NPD PA
Clinical Specialty Associates Infectious Disease Physician · Bala Cynwyd, PA · NPI 1932992609

NPD
Clinical Specialty Associates Gastroenterology Physician · Bala Cynwyd, PA · NPI 1992595763

NPD
Prospect Health Access Network, Inc. Neurology Physician · Chester, PA · NPI 1013364520

NPD
Prospect Health Access Network, Inc. Diagnostic Radiology Physician · Chester, PA · NPI 1154776797

NPD FAMILY MEDICINE
Chespenn Health Services Federally Qualified Health Center (FQHC) · Upper Darby, PA · NPI 1225272263

NPD (past)

Hospital & facility affiliations 2

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

Hospital of the University of PA Ambulatory Fertility Facility · Phila, PA · NPI 1033262316

Care Compare affiliation Hospital
Trustees of the University of Pennsylvania General Acute Care Hospital · Philadelphia, PA · NPI 1851370910

Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty: Family Practice
Education: Other, 2020
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Clinical Specialty Associates (165 clinicians)

Practice addresses (Care Compare)

1260 E Woodland Ave
Suite 200 Penn Family Medicine Woodland Av
Springfield, PA 19064-3956
Phone (610) 690-4490

Hospital & facility affiliations

Hospital of Univ of Pennsylvania Hospital · Philadelphia, PA · CCN 390111

Medicare participation

Medicare fee-for-service enrollment: Enrolled in PA
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20231005001557	PA	Practitioner - Family Practice	3971958356	Reassigns benefits to 3 organizations

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Doctor of Osteopathy

State licenses

License	State	Type	Specialty
OS022928	PA	MD	Family Medicine Physician

Practice roles

Organization	Specialty	Status	New patients
Clinical Specialty Associates		Current since Oct 5, 2025	Accepting new patients
Prospect Health Access Network, Inc.	Family Medicine	Current since Sep 20, 2023	Accepting new patients
Clinical Specialty Associates		Current since Oct 5, 2025	Accepting new patients
Prospect Health Access Network, Inc.		Current since Sep 20, 2023	Accepting new patients
Prospect Health Access Network, Inc.		Current	Accepting new patients
Chespenn Health Services		Current since Mar 5, 2024	Accepting new patients
Chespenn Health Services		Past	Accepting new patients
Clinical Specialty Associates		Past	Accepting new patients

Locations

1 Medical Center Blvd
Ste 301
Chester, PA 19013
Phone (610) 566-6744

744 E Lincoln Hwy
Ste 110
Coatesville, PA 19320
Phone (610) 380-4660

1510 Chester Pike
Ste 200
Eddystone, PA 19022
Phone (610) 485-3800

1260 E Woodland Ave
Ste 200
Springfield, PA 19064
Phone (610) 690-4471

100 W Sproul Rd
Ste 123
Springfield, PA 19064
Phone (610) 619-8281

5 S State Rd
Upper Darby, PA 19082
Phone (610) 352-6585

701 E Marshall St
West Chester, PA 19380
Phone (610) 431-5000

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Family Medicine Physician	207Q00000X	OS022928	PA	Yes

Addresses

Primary practice location

1260 E. Woodland Ave
Ste 200
Springfield, PA 19064-3956

Mailing address

1260 E. Woodland Ave
Ste 200
Springfield, PA 19064-3956
Phone (610) 690-4490

Other providers in Springfield, PA

All providers in Springfield, PA · Family Medicine Physician in Pennsylvania

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 4, 2025. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.