KIM MARY LICCIARDI FNP-C.
NPI 1548516438
Nurse Practitioner - Family in Scottsdale, AZ

Q: What is Kim Licciardi's NPI number?

The NPI number for Kim Licciardi is 1548516438. It was assigned to this individual provider in the NPPES registry on July 27, 2012.

Q: What is Kim Licciardi's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kim Licciardi was last updated on September 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since July 27, 2012PECOS Enrolled

14672 N FRANK LLOYD WRIGHT BLVD, SCOTTSDALE, AZ 85260(866) 389-2727 Get Directions Write a Review

NPPES record last updated: September 10, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Kim Mary Licciardi Fnp-c. NPPES

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

KIM MARY LICCIARDI FNP-C. (NPI 1548516438) is an individual family provider in Scottsdale, Arizona, licensed in Arizona (AP4578) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548516438

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKIM MARY LICCIARDICredential: FNP-C.

Location Address14672 N FRANK LLOYD WRIGHT BLVDScottsdale, AZ 85260-2043

Mailing Address14672 N Frank Lloyd Wright BlvdScottsdale, AZ 85260-2043 · (866) 389-2727

Phone(866) 389-2727

Sole ProprietorYes

Enumeration DateJuly 27, 2012

Last NPPES UpdateSeptember 10, 2014

✔ NPI 1548516438 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in AZ · AP4578

Also ListedRegistered NurseTaxonomy 163W00000X · License RN102285 (AZ)

14672 N FRANK LLOYD WRIGHT BLVD, Scottsdale, AZ 85260

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kim Mary Licciardi Fnp-c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

Medicare enrollment records show Kim Licciardi reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

North Valley Emergency Specialists

17 mi

Emergency Medicine

5555 W THUNDERBIRD RD
Glendale, AZ 85306

Reassigned Medicare billing, Arizona enrollment
93 clinicians in this Medicare group

NPI 1285655209 (602) 588-5555

Tec Emergency Physicians Of Arizona, LLC

20 mi

Emergency Care

70 S VAL VISTA DR STE A3-621
Gilbert, AZ 85296

Reassigned Medicare billing, Arizona enrollment
263 clinicians in this Medicare group

NPI 1245772870 (480) 573-8460

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85260 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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 11

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

CVS/PHARMACY

Pharmacist