VANESSA GAMMILL LICKSON APRN
NPI 1609343698
Nurse Practitioner in Blountstown, FL

Active since October 27, 2018PECOS EnrolledAccepts Medicare Assignment
16875 NE CAYSON ST, BLOUNTSTOWN, FL 32424(850) 674-2244(850) 674-2249 Get Directions Write a Review

NPPES record last updated: May 3, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 3, 2024, May 8, 2023, May 3, 2023 and 6 more (9 updates tracked since 2018).

About Vanessa Gammill Lickson Aprn NPPES

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

VANESSA GAMMILL LICKSON APRN (NPI 1609343698) is an individual nurse practitioner in Blountstown, Florida, licensed in Florida (11000074) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS, is affiliated with Tallahassee Memorial Healthcare, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1609343698
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameVANESSA GAMMILL LICKSONCredential: APRN
Location Address16875 NE CAYSON STBlountstown, FL 32424-2209
Mailing Address403 E 11th StPanama City, FL 32401-3409 · (850) 747-5599
Fax(850) 674-2249
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateOctober 27, 2018
Last NPPES UpdateMay 3, 20239 updates tracked since enumeration
NPPES CertifiedMay 3, 2023
NPI 1609343698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in FL · 11000074
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedRegistered NurseTaxonomy 163W00000X · License 9301316 (FL)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License APRN11000074 (FL)
16875 NE CAYSON ST, Blountstown, FL 32424

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

Vanessa Gammill Lickson Aprn 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 ID941534382
PECOS Enrollment IDI20190619000393
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.

Hospital Affiliations CMS Care Compare

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

Tallahassee Memorial Healthcare

Acute Care Hospitals · Tallahassee, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100135
Location1300 Miccosukee RdTallahassee, FL 32308 · Leon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32424 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Clinic/Center (Federally Qualified Health Center (FQHC))
16875 NE CAYSON ST
BLOUNTSTOWN, FL 32424
Physician Assistant (Medical)
16875 NE CAYSON ST
BLOUNTSTOWN, FL 32424
Nurse Practitioner
16875 NE CAYSON ST
BLOUNTSTOWN, FL 32424

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 Vanessa Lickson's NPI number?

The NPI number for Vanessa Lickson is 1609343698. It was assigned to this individual provider in the NPPES registry on October 27, 2018.

Where is Vanessa Lickson located?

Vanessa Lickson practices at 16875 NE Cayson St, Blountstown, FL 32424. The listed phone number is (850) 674-2244.

What is Vanessa Lickson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Vanessa Lickson enrolled in Medicare?

Yes. Vanessa Lickson 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 Vanessa Lickson accept?

Health plans from Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Vanessa Lickson 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 Vanessa Lickson affiliated with any hospitals?

According to CMS data, Vanessa Lickson is affiliated with Tallahassee Memorial Healthcare.

When was this NPI record last updated?

The NPPES record for Vanessa Lickson was last updated on May 3, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.