Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Crystal Dawnelle Dickerson, MD

Individual provider Family Medicine Physician · NPI 1184665697

Dr. Crystal Dawnelle Dickerson, MD is a Family Practice in Kennewick, Washington. Graduated from University of New Mexico School of Medicine in 1995, 31 years ago. Practices with Alpine Medical Group Colorado PLLC, a 106-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Colorado and Washington.

Years since qualifying
31
Trained at
University of New Mexico School of Medicine
Licensed in
CO, WA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

721 S Auburn St
Kennewick, WA 99336-5629
Phone: (509) 547-2204
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1 Mercado St Ste 160, Durango, CO 81301-7309 — (970) 385-9850

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 60959396 (WA)
Family Medicine Physician Taxonomy 207Q00000X · Licence DR.0035551 (CO)

Record details

NPI number1184665697
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 8, 2006
Last updated in NPPESOctober 11, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE
Graduated 1995 (31 years in practice)
Group practice Alpine Medical Group Colorado Pllc — 106 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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