MACY LICKTEIG PA-C
NPI 1144060260
Physician Assistant in Wichita, KS

Q: What is Macy Lickteig's NPI number?

The NPI number for Macy Lickteig is 1144060260. It was assigned to this individual provider in the NPPES registry on May 28, 2024.

Q: What is Macy Lickteig'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 Macy Lickteig was last updated on March 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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 May 28, 2024PECOS EnrolledAccepts Medicare Assignment

310 S HILLSIDE ST, WICHITA, KS 67211(316) 264-3505 Get Directions Write a Review

NPPES record last updated: March 17, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2026, Jun 13, 2025 (2 updates tracked since 2025).

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About Macy Lickteig Pa-c NPPES

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

MACY LICKTEIG PA-C (NPI 1144060260) is an individual physician assistant in Wichita, Kansas and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS, is affiliated with Nmc Health, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1144060260

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMACY LICKTEIGCredential: PA-C

Location Address310 S HILLSIDE STWichita, KS 67211-2129

Mailing Address310 S Hillside StWichita, KS 67211-2129 · (316) 265-3505 · Fax (316) 264-0908

Phone(316) 264-3505

Sole ProprietorYes

Medical School CMSOtherGraduated 2024

Enumeration DateMay 28, 2024

Last NPPES UpdateMarch 17, 20262 updates tracked since enumeration

NPPES CertifiedMarch 17, 2026

✔ NPI 1144060260 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.

310 S HILLSIDE ST, Wichita, KS 67211

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health 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

Macy Lickteig 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 ID5698213452

PECOS Enrollment IDI20240812004165

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.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, daptomycin, 1 mg J0878

Daptomycin is an antibiotic injection used to treat severe bacterial infections. It works by stopping bacteria from growing and multiplying. The 1 mg dosage refers to the amount of daptomycin in each injection. It's administered by healthcare professionals.

14,600 services11 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

238 services134 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

152 services120 patients

Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less 96365

This is a procedure where a medical professional inserts a small tube into your vein to deliver medication, nutrients, or fluids directly into your bloodstream. This can be for treatment, prevention, or diagnosis. The process typically takes less than an hour.

50 services26 patients

Injection, ertapenem sodium, 500 mg J1335

Ertapenem sodium is a potent antibiotic administered via injection to treat a variety of serious bacterial infections. The 500 mg dosage helps your body fight off these bacteria effectively. It's given by a healthcare professional, often in a hospital setting.

34 services11 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

23 services16 patients

Hospital Affiliations CMS Care Compare 3

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

Nmc Health

Acute Care Hospitals · Newton, KS

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number170103

Location600 Medical Center DriveNewton, KS 67114 · Harvey County

Emergency services

Ascension Via Christi Hospitals Wichita, Inc.

Acute Care Hospitals · Wichita, KS

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number170122

Location929 North St Francis StreetWichita, KS 67214 · Sedgwick County

Emergency services Birthing friendly

Wesley Medical Center

Acute Care Hospitals · Wichita, KS

5/5 CMS rating

OwnershipProprietary

CMS Certification Number170123

Location550 N Hillside StreetWichita, KS 67214 · Sedgwick County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 67211 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

$81.98 typical visit price

range $53.00 – $161.67

Typical copayment $20.49 (range $13.25 – $40.41)

Most-billed visit code 99203

Established Patient

$66.40 typical visit price

range $16.88 – $132.11

Typical copayment $16.60 (range $4.22 – $33.02)

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.

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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.

DR. JERRY D PETERIE MD

Internal Medicine (Infectious Disease)