JOHN BRADFORD LICHLYTER MSN, APRN, NP-C, CEN
NPI 1629852900
Nurse Practitioner in Johnson City, TN

Q: What is John Lichlyter's NPI number?

The NPI number for John Lichlyter is 1629852900. It was assigned to this individual provider in the NPPES registry on August 21, 2023.

Q: What is John Lichlyter's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for John Lichlyter was last updated on September 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 August 21, 2023PECOS EnrolledAccepts Medicare Assignment

410 N STATE OF FRANKLIN RD STE 130, JOHNSON CITY, TN 37604(423) 431-2477 Get Directions Write a Review

NPPES record last updated: September 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 26, 2024, Apr 4, 2024, Oct 9, 2023 and 2 more (5 updates tracked since 2023).

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About John Bradford Lichlyter Msn, Aprn, Np-c, Cen NPPES

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

JOHN BRADFORD LICHLYTER MSN, APRN, NP-C, CEN (NPI 1629852900) is an individual nurse practitioner in Johnson City, Tennessee, licensed in Tennessee (34973) and active in the NPI registry since August 2023. He is enrolled in Medicare PECOS, is affiliated with Chippewa Valley Hospital, and maintains a secondary practice location in Maryville.

NPPES Registry Identity

NPI1629852900

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameJOHN BRADFORD LICHLYTERCredential: MSN, APRN, NP-C, CEN

Location Address410 N STATE OF FRANKLIN RD STE 130Johnson City, TN 37604-6972

Mailing Address1021 W Oakland Ave Ste 310Johnson City, TN 37604-2192 · (423) 302-6565

Phone(423) 431-2477

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateAugust 21, 2023

Last NPPES UpdateSeptember 26, 20255 updates tracked since enumeration

NPPES CertifiedSeptember 26, 2025

✔ NPI 1629852900 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

Licenses✔ Licensed in TN · 34973✔ Licensed in WI · 15689-33

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 Nurse · EmergencyTaxonomy 163WE0003X · License 224266 (TN)

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 34793 (TN)

410 N STATE OF FRANKLIN RD STE 130, Johnson City, TN 37604

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Secondary Practice Location 1

Location 1907 E LaMar Alexander PkwyMaryville, TN 37804-5016 · Phone (865) 804-0322

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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

John Bradford Lichlyter Msn, Aprn, Np-c, Cen 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 ID7719320779

PECOS Enrollment IDI20250124002246

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 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

18 services13 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

15 services13 patients

Hospital Affiliations CMS Care Compare

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

Chippewa Valley Hospital

Critical Access Hospitals · Durand, WI

OwnershipVoluntary non-profit - Church

CMS Certification Number521307

Location1220 3rd Ave WDurand, WI 54736 · Pepin County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37604 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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 17

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

DR. RAMIN A BEHMAND

Plastic Surgery