JASON MICHAEL LICHT PA-C
NPI 1073533410
Physician Assistant in Raleigh, NC

Q: What is Jason Licht's NPI number?

The NPI number for Jason Licht is 1073533410. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Q: What is Jason Licht's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Jason Licht was last updated on March 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 20, 2006PECOS EnrolledAccepts Medicare Assignment

3000 NEW BERN AVE, SUITE 1200, RALEIGH, NC 27610(919) 231-6132(919) 231-6276 Get Directions Write a Review

NPPES record last updated: March 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 27, 2023, Mar 8, 2021 (2 updates tracked since 2021).

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About Jason Michael Licht Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JASON MICHAEL LICHT PA-C (NPI 1073533410) is an individual physician assistant in Raleigh, North Carolina, licensed in North Carolina (0010-00069) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Wakemed, Raleigh Campus, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1073533410

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameJASON MICHAEL LICHTCredential: PA-C

Location Address3000 NEW BERN AVE, SUITE 1200Raleigh, NC 27610-1231

Mailing AddressPo Box 603949Charlotte, NC 28260-3949 · (919) 350-0351 · Fax (919) 350-7687

Phone(919) 231-6132

Fax(919) 231-6276

Sole ProprietorYes

Medical School CMSOtherGraduated 2003

Enumeration DateJuly 20, 2006

Last NPPES UpdateMarch 27, 20232 updates tracked since enumeration

NPPES CertifiedMarch 27, 2023

✔ NPI 1073533410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in NC · 0010-00069

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 0010-00069 (NC)

3000 NEW BERN AVE, Raleigh, NC 27610

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Other Identifiers 1

Medicaid1073533410NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jason Michael Licht Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9133020290

PECOS Enrollment IDI20050725001230

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wakemed, Raleigh Campus

Acute Care Hospitals · Raleigh, NC

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340069

Location3000 New Bern AveRaleigh, NC 27610 · Wake County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27610 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JILL M PAPPALARDI M.D.

Hospitalist