1. Home
  2. Directory
  3. Pennsylvania
  4. West Reading
  5. Nurse Practitioner
  6. NPI Profile

AMY L LICATA CRNP
NPI 1255393054
Nurse Practitioner - Adult Health in West Reading, PA

Active since April 05, 2006PECOS EnrolledAccepts Medicare Assignment
81.19/100
CMS Quality Rating
301 S 7TH AVE, SUITE 2020, WEST READING, PA 19611(610) 375-6565(610) 375-2065 Get Directions Write a Review

NPPES record last updated: August 19, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Amy L Licata Crnp NPPES

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

AMY L LICATA CRNP (NPI 1255393054) is an individual adult health provider in West Reading, Pennsylvania, licensed in Pennsylvania (SP-007431) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, is affiliated with Reading Hospital, and is a graduate of Hahnemann University College Of Medicine (2000).

NPPES Registry Identity

NPI1255393054
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameAMY L LICATACredential: CRNP
Location Address301 S 7TH AVE, SUITE 2020West Reading, PA 19611-1410
Mailing AddressPo Box 13579Reading, PA 19612-3579 · (484) 628-0796 · Fax (484) 334-7026
Phone(610) 375-6565
Fax(610) 375-2065
Sole ProprietorNo
Medical School CMSHahnemann University College Of MedicineGraduated 2000
Enumeration DateApril 5, 2006
Last NPPES UpdateAugust 19, 2016
✔ NPI 1255393054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in PA · SP-007431
301 S 7TH AVE, West Reading, PA 19611
Open in Google Maps ↗

Other Identifiers 2

Medicaid103102437PA
Medicare PIN065862PA

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

Amy L Licata Crnp 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 ID4183750615
PECOS Enrollment IDI20100410000005
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 5

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.

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.
108 services102 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.
64 services61 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.
60 services60 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.
51 services48 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.
22 services19 patients

Hospital Affiliations CMS Care Compare 2

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

Reading Hospital

Acute Care Hospitals · West Reading, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390044
Location420 S 5th AvenueWest Reading, PA 19611 · Berks County
Emergency services Birthing friendly

Penn State Health St. Joseph

Acute Care Hospitals · Reading, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390096
Location2500 Bernville RoadReading, PA 19605 · Berks County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19611 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.56
Promoting Interoperability97
Improvement Activities40
Cost65.23

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
27%299 patients1/55-star benchmark: 100%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
19%21 patients1/55-star benchmark: 100%
Medication Reconciliation Post-Discharge
The percentage of discharges from any inpatient facility (e.g. hospital, skilled nursing facility, or rehabilitation facility) for patients 18 years and older of age seen within 30 days following discharge in the office by the physician, prescribing…
Patients 65+: 100% · 103 patients
100%112 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

ANKUSH LAHOTI M.D.
Internal Medicine (Interventional Cardiology)
301 S 7TH AVE, SUITE 2020
WEST READING, PA 19611
Berks County (610) 375-6565
RANDALL S. WINN M.D.
Specialist
301 S 7TH AVE, STE 135
WEST READING, PA 19611
Berks County (610) 988-8929
MR. TIMOTHY W MYERS PT
Physical Therapist
301 S 7TH AVE, STE 3220
WEST READING, PA 19611
Berks County (610) 376-8671
BILAL SAULAT M.D.,
Psychiatry & Neurology (Neurology)
301 S 7TH AVE, SUITE 210
READING, PA 19611
Berks County (484) 628-4656
GAIL A. LUECKE M.D.
Specialist
301 S 7TH AVE, STE 135
WEST READING, PA 19611
Berks County (610) 988-8108
DR. JOHN D CASEY MD
Orthopaedic Surgery
301 S 7TH AVE, SUITE 3220
WEST READING, PA 19611
Berks County (610) 376-8671
LEONARD J MARCHINSKI MD PC-PHYSICAL THERAPY
Physical Therapist
301 S 7TH AVE, SUITE 3020
WEST READING, PA 19611
Berks County (610) 375-6147
EARL J HOPE M.D.
Internal Medicine (Interventional Cardiology)
301 S 7TH AVE, SUITE 2020
WEST READING, PA 19611
Berks County (610) 375-6565

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 Amy Licata's NPI number?

The NPI number for Amy Licata is 1255393054. It was assigned to this individual provider in the NPPES registry on April 5, 2006.

Where is Amy Licata located?

Amy Licata practices at 301 S 7th Ave Suite 2020, West Reading, PA 19611. The listed phone number is (610) 375-6565.

What is Amy Licata's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Amy Licata enrolled in Medicare?

Yes. Amy 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.

Is Amy Licata affiliated with any hospitals?

According to CMS data, Amy Licata is affiliated with Reading Hospital and Penn State Health St. Joseph.

When was this NPI record last updated?

The NPPES record for Amy Licata was last updated on August 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.