Individual provider Active NPI

William Stickney

  • Physician Assistant
  • Midlothian, VA
National Provider Identifier
1881328532
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110008642 Issued in VA
Practice address
1316 Alverser PLZ
Midlothian, VA 23113-2604
Phone
(804) 379-0116
Fax
(804) 379-1088
NPI assigned
Jul 10, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X 0110008642 VA Primary

Addresses

Primary practice location

1316 Alverser PLZ
Midlothian, VA 23113-2604

Mailing address

2200 Swanhurst Dr
Midlothian, VA 23113-9649

Other practice location 1

5801 Bremo Rd
Richmond, VA 23226-1907
Phone (757) 333-1493

Other practice location 2

PO Box 72605
North Chesterfield, VA 23235-8017
Phone (804) 379-0116

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230119000798 VA Practitioner - Physician Assistant 4981075546 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
James River Dermatology PLLCGroup PAC ID 1759430457, 9 clinicians

Practice addresses (Care Compare)

1316 Alverser PLZ
Midlothian, VA 23113-2604
Phone (804) 379-0116

6372 Mechanicsville Tpke
Suite 103
Mechanicsville, VA 23111-4710
Phone (804) 379-0116

Merit-based Incentive Payment System (MIPS)

Final score
87.3 of 100Reported as group
Quality
70.94
Improvement activities
40
Cost
92.94

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America LLC CurrentSince Jan 15, 2023 Accepting new patients
Cep America, LLC CurrentSince Jan 15, 2023 Accepting new patients
James River Dermatology PLLC CurrentSince Jun 3, 2025 Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1316 Alverser Plz
Midlothian, VA 23113
Phone (804) 291-8636

5801 Bremo Rd
Richmond, VA 23226
Phone (804) 281-8220

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AGCHAA

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1657411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1881328532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 SWANHURST DR",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231139649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 ALVERSER PLZ",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231132604",
            "telephone_number": "804-379-0116",
            "fax_number": "804-379-1088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5801 Bremo Rd",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232261907",
            "country_code": "US",
            "telephone_number": "757-333-1493",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "PO Box 72605",
            "address_purpose": "LOCATION",
            "city": "North Chesterfield",
            "state": "VA",
            "postal_code": "232358017",
            "country_code": "US",
            "telephone_number": "804-379-0116",
            "fax_number": "804-379-1088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STICKNEY",
        "first_name": "WILLIAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-10",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110008642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

Verify at the official NPI Registry.