MRS. HEATHER CHRISTINE LICATA PNP
NPI 1225544109
Nurse Practitioner - Pediatrics in Saint Louis, MO

Q: What is Heather Licata's NPI number?

The NPI number for Heather Licata is 1225544109. It was assigned to this individual provider in the NPPES registry on December 14, 2017. The provider is also known as Heather Alexander.

Q: What is Heather Licata's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Heather Licata was last updated on January 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 December 14, 2017PECOS EnrolledAccepts Medicare Assignment

615 S NEW BALLAS RD STE 120, SAINT LOUIS, MO 63141(314) 251-6986(314) 251-5712 Get Directions Write a Review

NPPES record last updated: January 29, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 29, 2026, Dec 14, 2017 (2 updates tracked since 2017).

On this page

About Mrs. Heather Christine Licata Pnp NPPES

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

MRS. HEATHER CHRISTINE LICATA PNP (NPI 1225544109) is an individual pediatrics provider in Saint Louis, Missouri, licensed in Missouri (2018005317) and active in the NPI registry since December 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1225544109

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameMRS. HEATHER CHRISTINE LICATACredential: PNP

Location Address615 S NEW BALLAS RD STE 120Saint Louis, MO 63141-8221

Mailing Address615 S New Ballas Rd Ste 120Saint Louis, MO 63141-8221 · (314) 251-6986 · Fax (314) 251-5712

Phone(314) 251-6986

Fax(314) 251-5712

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateDecember 14, 2017

Last NPPES UpdateJanuary 29, 20262 updates tracked since enumeration

NPPES CertifiedJanuary 29, 2026

✔ NPI 1225544109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in MO · 2018005317

615 S NEW BALLAS RD STE 120, Saint Louis, MO 63141

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Other Names 1

Former Name (1)Heather Alexander

Accepted Insurance

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

Mrs. Heather Christine Licata Pnp 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 ID7416218995

PECOS Enrollment IDI20180223002452

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63141 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

$86.32 typical visit price

range $55.65 – $169.38

Typical copayment $21.58 (range $13.91 – $42.34)

Most-billed visit code 99203

Established Patient

$98.37 typical visit price

range $17.76 – $137.92

Typical copayment $24.59 (range $4.44 – $34.48)

Most-billed visit code 99214

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

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Heather Licata's NPI number?

The NPI number for Heather Licata is 1225544109. It was assigned to this individual provider in the NPPES registry on December 14, 2017. The provider is also known as Heather Alexander.

Where is Heather Licata located?

Heather Licata practices at 615 S New Ballas Rd Ste 120, Saint Louis, MO 63141. The listed phone number is (314) 251-6986.

What is Heather Licata's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Heather Licata enrolled in Medicare?

Yes. Heather Licata is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Heather Licata accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 4 other insurers list Heather Licata as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Heather Licata was last updated on January 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.