MRS. RENEE LICORISH DNP, APRN, PMHNP-BC
NPI 1437618097
Nurse Practitioner - Psychiatric/Mental Health in Brooklyn, NY
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
Specialties & Licenses
Accepted Insurance
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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Renee Licorish reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Brooklyn, NY 11215
- Reassigned Medicare billing, New York enrollment
- 1,029 clinicians in this Medicare group
San Antonio, TX 78229
- Reassigned Medicare billing, Texas enrollment
- 23 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.
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.
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, NYPhysician 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.
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.
BROOKLYN, NY 11215
BROOKLYN, NY 11215
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.
Which organizations bill Medicare for Renee Licorish's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Renee Licorish reassigns Medicare benefits to 2 organizations: Kings Physician Services, PC (Brooklyn, NY) and Mypsych Mental Health, PLLC (San Antonio, TX). Each 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 Renee Licorish's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Renee Licorish accept?
Health plans from Blue Cross and Blue Shield of Texas, Harbor Health, UnitedHealthcare and WellPoint 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 22 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.
# Mrs. Renee Licorish, DNP, APRN, PMHNP-BC · NPI 1437618097
Psychiatric/Mental Health physician in Brooklyn, New York. Individual provider, active in the CMS NPPES registry since March 13, 2019.
## Identity
- **NPI:** 1437618097 (Entity type: Individual)
- **Enumerated:** March 13, 2019
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 405792 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 343 4TH AVE, Brooklyn, NY 11215-2719
- **Phone:** (929) 470-9881
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Kings Physician Services, PC (NPI 1083045090, Brooklyn, NY); Mypsych Mental Health, PLLC (NPI 1871962191, San Antonio, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** December 31, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1437618097) · Data from the CMS NPPES public registry.