CARRIE LICHT CNP
NPI 1558243170
Nurse Practitioner - Family in Wooster, OH

Q: What is Carrie Licht's NPI number?

The NPI number for Carrie Licht is 1558243170. It was assigned to this individual provider in the NPPES registry on July 24, 2025.

Q: What is Carrie Licht'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 Carrie Licht was last updated on July 24, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 24, 2025PECOS Enrolled

1761 BEALL AVE, WOOSTER, OH 44691(330) 263-8100 Get Directions Write a Review

NPPES record last updated: July 24, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Carrie Licht Cnp NPPES

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

CARRIE LICHT CNP (NPI 1558243170) is an individual family provider in Wooster, Ohio, licensed in Ohio (0039851) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1558243170

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameCARRIE LICHTCredential: CNP

Location Address1761 BEALL AVEWooster, OH 44691-2342

Mailing Address160 Myers StCreston, OH 44217-9704 · (912) 467-3215

Phone(330) 263-8100

Sole ProprietorYes

Medical School CMSOtherGraduated 2016

Enumeration DateJuly 24, 2025

NPPES CertifiedJune 27, 2025

✔ NPI 1558243170 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 OH · 0039851

1761 BEALL AVE, Wooster, OH 44691

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carrie Licht Cnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5193227023

PECOS Enrollment IDI20250909000358

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44691 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

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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.

PAIGE PIERCE MD

Hospitalist