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

Dr. Stacey Anna Nicholson, MD

Individual provider Internal Medicine Physician · NPI 1710108774

Dr. Stacey Anna Nicholson, MD is an Internal Medicine Physician in Wichita, Kansas. Licensed in Kansas. Registered with an NPI since 2007.

Licensed in
KS
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

5500 E Kellogg Dr
Wichita, KS 67218-1607
Phone: (316) 259-0560
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 0432131 (KS)

Record details

NPI number1710108774
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 1, 2007
Last updated in NPPESJanuary 9, 2014

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