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

Stacey Dimitt, MD

Individual provider Family Medicine Physician · NPI 1508151978

Stacey Dimitt, MD is a Family Practice in Grants, New Mexico. Graduated from University of Kansas School of Med (KC/WICH/SAL) in 2011, 15 years ago. Practices with Cibola General Hospital Corporation, a 85-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
15
Trained at
University of Kansas School of Med (KC/WICH/SAL)
Licensed in
KS
In the registry since
2011
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

1423 E Roosevelt Ave
Grants, NM 87020-2245
Phone: (505) 287-6500
Fax: (505) 287-5393
Show map & directions

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

Additional practice locations (2)

  • 119 E Parliament St, Smith Center, KS 66967-3015 — (316) 962-3030
  • 921 E Highway 36, Smith Center, KS 66967 — (785) 282-6834

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 7613 (KS)

Record details

NPI number1508151978
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 14, 2011
Last updated in NPPESSeptember 2, 2020
Certification dateSeptember 2, 2020
Mailing address1423 E Roosevelt Ave, Grants, NM 87020-2245

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Also practisesOBSTETRICS/GYNECOLOGY
Medical schoolUNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated 2011 (15 years in practice)
Group practice Cibola General Hospital Corporation — 85 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Grants