LAURA LICA
NPI 1104692664
Physician Assistant in Jacksonville, FL

Active since November 27, 2023PECOS EnrolledAccepts Medicare Assignment
3900 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216(904) 222-6656 Get Directions Write a Review

NPPES record last updated: July 27, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 27, 2024, Jul 8, 2024 (2 updates tracked since 2024).

About Laura Lica NPPES

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

LAURA LICA (NPI 1104692664) is an individual physician assistant in Jacksonville, Florida and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS, is affiliated with St David's Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1104692664
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLAURA LICA
Location Address3900 UNIVERSITY BLVD SJacksonville, FL 32216-4331
Mailing Address14051 Beach Blvd Apt 4212Jacksonville, FL 32250-1837 · (734) 649-3280
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateNovember 27, 2023
Last NPPES UpdateJuly 27, 20242 updates tracked since enumeration
NPPES CertifiedJuly 27, 2024
NPI 1104692664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.

3900 UNIVERSITY BLVD S, Jacksonville, FL 32216

Accepted 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

Laura Lica 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 ID5092216895
PECOS Enrollment IDI20250902004036
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 2

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

St David's Medical Center

Acute Care Hospitals · Austin, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450431
Location919 E 32nd StAustin, TX 78705 · Travis County
Emergency services Birthing friendly

Round Rock Medical Center

Acute Care Hospitals · Round Rock, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450718
Location2400 Round Rock AveRound Rock, TX 78681 · Williamson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32216 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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 15

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

Obstetrics & Gynecology
3900 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Internal Medicine (Cardiovascular Disease)
3900 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Internal Medicine (Interventional Cardiology)
3900 UNIVERSITY BLVD S, SUITE A
JACKSONVILLE, FL 32216
Nurse Practitioner (Family)
3900 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Nurse Practitioner
3900 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Physician Assistant
3900 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Internal Medicine (Cardiovascular Disease)
3900 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Physician Assistant
3900 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104692664, enumerated as an "individual" on November 27, 2023.

The provider is located at 3900 UNIVERSITY BLVD S JACKSONVILLE, FL 32216 and the phone number is (904) 222-6656.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Ambetter. Please consult your insurance carrier or call the provider to verify.

Laura Lica is affiliated with: ST DAVID'S MEDICAL CENTER and ROUND ROCK MEDICAL CENTER.