Stacey Nicholson, MD
NPI 1710108774 · Internal Medicine Physician · Wichita, KS
Enrolled with Medicare as Order and Referring Only - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Stacey Nicholson, MD is a Internal Medicine Physician provider in Wichita, KS (NPI 1710108774).
Provider details
- NPI number
- 1710108774
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 0432131 (KS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-05-01
- Last updated
- 2014-01-09
Frequently asked questions
- What is Stacey Nicholson's NPI number?
- Stacey Nicholson's National Provider Identifier (NPI) is 1710108774, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Stacey Nicholson's specialty?
- Stacey Nicholson is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Stacey Nicholson located?
- Stacey Nicholson's practice location on file with NPPES is 5500 E Kellogg Dr, Wichita, KS 67218-1607.
- What is Stacey Nicholson's phone number?
- The practice phone number listed in the NPPES registry for Stacey Nicholson is (316) 259-0560.
- Does Stacey Nicholson accept Medicare?
- Stacey Nicholson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Stacey Nicholson's NPI active?
- Yes — Stacey Nicholson's NPI (1710108774) is active in the NPPES registry as of the last update on 2014-01-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.