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JESSICA ANN LICKISS DPM
NPI 1275977381
Student in an Organized Health Care Education/Training Program in San Francisco, CA

Active since April 18, 2013PECOS EnrolledAccepts Medicare Assignment
541 MONTEREY BLVD, SAN FRANCISCO, CA 94127(951) 970-3000 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jessica Ann Lickiss Dpm NPPES

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

JESSICA ANN LICKISS DPM (NPI 1275977381) is an individual student in an organized health care education/training program in San Francisco, California and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS and is a graduate of California School Of Podiatric Medicine (2013).

NPPES Registry Identity

NPI1275977381
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJESSICA ANN LICKISSCredential: DPM
Location Address541 MONTEREY BLVDSan Francisco, CA 94127-2415
Mailing Address541 Monterey BlvdSan Francisco, CA 94127-2415 · (951) 970-3000
Phone(951) 970-3000
Sole ProprietorNo
Medical School CMSCalifornia School Of Podiatric MedicineGraduated 2013
Enumeration DateApril 18, 2013
Last NPPES UpdateDecember 17, 2021
✔ NPI 1275977381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
541 MONTEREY BLVD, San Francisco, CA 94127
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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

Jessica Ann Lickiss Dpm 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 ID2163702515
PECOS Enrollment IDI20161201001073
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.

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 Jessica Lickiss's NPI number?

The NPI number for Jessica Lickiss is 1275977381. It was assigned to this individual provider in the NPPES registry on April 18, 2013.

Where is Jessica Lickiss located?

Jessica Lickiss practices at 541 Monterey Blvd, San Francisco, CA 94127. The listed phone number is (951) 970-3000.

What is Jessica Lickiss's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jessica Lickiss enrolled in Medicare?

Yes. Jessica Lickiss 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.

When was this NPI record last updated?

The NPPES record for Jessica Lickiss was last updated on December 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.