JESSICA ANN LICKISS DPM
NPI 1275977381
Student in an Organized Health Care Education/Training Program in San Francisco, CA
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Jessica Lickiss reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Francisco, CA 94116
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Which organization bills Medicare for Jessica Lickiss's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Lickiss reassigns Medicare benefits to Permanente Medical Group Inc (San Francisco, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jessica Lickiss's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Jessica Ann Lickiss, DPM · NPI 1275977381
Student in an Organized Health Care Education/Training Program provider in San Francisco, California. Individual provider, active in the CMS NPPES registry since April 18, 2013.
## Identity
- **NPI:** 1275977381 (Entity type: Individual)
- **Enumerated:** April 18, 2013
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 541 MONTEREY BLVD, San Francisco, CA 94127-2415
- **Phone:** (951) 970-3000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Permanente Medical Group Inc (NPI 1841373800, San Francisco, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** California School Of Podiatric Medicine, class of 2013
## Record status
- **NPPES last updated:** December 17, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1275977381) · Data from the CMS NPPES public registry.