MRS. KELLY LIN LICHT APN
NPI 1336589845
Nurse Practitioner - Family in Chattanooga, TN

Active since June 28, 2013PECOS EnrolledAccepts Medicare Assignment
94.7/100
CMS Quality Rating
2501 CITICO AVE, CHATTANOOGA, TN 37404(423) 697-2000(423) 697-2118 Get Directions Write a Review

NPPES record last updated: November 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Kelly Lin Licht Apn NPPES

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

MRS. KELLY LIN LICHT APN (NPI 1336589845) is an individual family provider in Chattanooga, Tennessee, licensed in Tennessee (17739) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS, is affiliated with Memorial Healthcare System, Inc, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1336589845
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. KELLY LIN LICHTCredential: APN
Location Address2501 CITICO AVEChattanooga, TN 37404-1127
Mailing Address2501 Citico AveChattanooga, TN 37404-1127 · (423) 697-2000 · Fax (423) 697-2118
Fax(423) 697-2118
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJune 28, 2013
Last NPPES UpdateNovember 26, 2025
NPPES CertifiedNovember 26, 2025
NPI 1336589845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in TN · 17739
2501 CITICO AVE, Chattanooga, TN 37404

Other Identifiers 1

Other17739TN · Apn License

Accepted 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. Kelly Lin Licht Apn 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 ID8628219524
PECOS Enrollment IDI20130718000207
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 2

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.

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.
197 services153 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
27 services24 patients

Hospital Affiliations CMS Care Compare

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

Memorial Healthcare System, Inc

Acute Care Hospitals · Chattanooga, TN
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number440091
Location2525 Desales AveChattanooga, TN 37404 · Hamilton County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37404 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

94.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.41
Promoting Interoperability100
Improvement Activities40

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.

Nurse Practitioner (Acute Care)
2501 CITICO AVE
CHATTANOOGA, TN 37404
Nurse Practitioner (Acute Care)
2501 CITICO AVE
CHATTANOOGA, TN 37404
Internal Medicine (Interventional Cardiology)
2501 CITICO AVE
CHATTANOOGA, TN 37404
Nurse Practitioner
2501 CITICO AVE
CHATTANOOGA, TN 37404
Nurse Practitioner (Family)
2501 CITICO AVE
CHATTANOOGA, TN 37404
Nurse Practitioner (Family)
2501 CITICO AVE
CHATTANOOGA, TN 37404
Nurse Practitioner (Family)
2501 CITICO AVE
CHATTANOOGA, TN 37404
Internal Medicine (Cardiovascular Disease)
2501 CITICO AVE
CHATTANOOGA, TN 37404

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 Kelly Licht's NPI number?

The NPI number for Kelly Licht is 1336589845. It was assigned to this individual provider in the NPPES registry on June 28, 2013.

Where is Kelly Licht located?

Kelly Licht practices at 2501 Citico Ave, Chattanooga, TN 37404. The listed phone number is (423) 697-2000.

What is Kelly Licht's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kelly Licht enrolled in Medicare?

Yes. Kelly Licht 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 Kelly Licht accept?

Health plans from Alliant Health Plans, Inc., Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and Ambetter of Alabama and 2 other insurers list Kelly Licht 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.

Is Kelly Licht affiliated with any hospitals?

According to CMS data, Kelly Licht is affiliated with Memorial Healthcare System, Inc.

When was this NPI record last updated?

The NPPES record for Kelly Licht was last updated on November 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.