MRS. RENEE LICORISH DNP, APRN, PMHNP-BC
NPI 1437618097
Nurse Practitioner - Psychiatric/Mental Health in Brooklyn, NY

Q: What is Renee Licorish's NPI number?

The NPI number for Renee Licorish is 1437618097. It was assigned to this individual provider in the NPPES registry on March 13, 2019.

Q: What is Renee Licorish's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Renee Licorish was last updated on December 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 March 13, 2019PECOS EnrolledAccepts Medicare Assignment

343 4TH AVE, BROOKLYN, NY 11215(929) 470-9881 Get Directions Write a Review

NPPES record last updated: December 31, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 31, 2024, Feb 1, 2023, Apr 20, 2022 and 2 more (5 updates tracked since 2019).

On this page

About Mrs. Renee Licorish Dnp, Aprn, Pmhnp-bc NPPES

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

MRS. RENEE LICORISH DNP, APRN, PMHNP-BC (NPI 1437618097) is an individual psychiatric/mental health provider in Brooklyn, New York, licensed in New York (405792) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with New York-presbyterian Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1437618097

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMRS. RENEE LICORISHCredential: DNP, APRN, PMHNP-BC

Location Address343 4TH AVEBrooklyn, NY 11215-2719

Mailing Address17460 I-35n, Suite 430-419Schertz, TX 78154 · (832) 623-8131 · Fax (855) 631-4341

Phone(929) 470-9881

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateMarch 13, 2019

Last NPPES UpdateDecember 31, 20245 updates tracked since enumeration

NPPES CertifiedDecember 30, 2024

✔ NPI 1437618097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Licenses✔ Licensed in NY · 405792✔ Licensed in TX · AP140787

343 4TH AVE, Brooklyn, NY 11215

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company.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. Renee Licorish Dnp, Aprn, Pmhnp-bc 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 ID2961744008

PECOS Enrollment IDI20241010001407

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

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 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 services16 patients

Hospital Affiliations CMS Care Compare

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

New York-Presbyterian Hospital

Acute Care Hospitals · New York, NY

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330101

Location525 East 68th StreetNew York, NY 10065 · New York County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11215 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TARA TROUT PSY.D.

Psychologist

343 4TH AVE, 2C
BROOKLYN, NY 11215

Kings County (929) 262-0674

PARK SLOPE MEDICINE, P.C.

Internal Medicine (Hematology & Oncology)

343 4TH AVE, AVE
BROOKLYN, NY 11215

Kings County (718) 499-2169

PARK SLOPE MEDICAL HEALTH PROVIDER, PC

Internal Medicine (Hematology & Oncology)

343 4TH AVE
BROOKLYN, NY 11215

Kings County (718) 499-2169

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 Renee Licorish's NPI number?

The NPI number for Renee Licorish is 1437618097. It was assigned to this individual provider in the NPPES registry on March 13, 2019.

Where is Renee Licorish located?

Renee Licorish practices at 343 4th Ave, Brooklyn, NY 11215. The listed phone number is (929) 470-9881.

What is Renee Licorish's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Renee Licorish enrolled in Medicare?

Yes. Renee Licorish 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 Renee Licorish accept?

Health plans from Blue Cross and Blue Shield of Texas and Oscar Insurance Company list Renee Licorish 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 Renee Licorish affiliated with any hospitals?

According to CMS data, Renee Licorish is affiliated with New York-Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Renee Licorish was last updated on December 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.