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

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: October 18, 2026.

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

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 Mayo Clinic Health System Eau Claire 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 Dean Health Plan.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

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.

Medicare Billing Reassignments

5

Medicare enrollment records show John Lichlyter reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Coverage, LLC
51 mi
Family Medicine
435 2ND ST
Newport, TN 37821
  • Reassigned Medicare billing, Tennessee enrollment
  • 664 clinicians in this Medicare group
NPI 1427005008 (423) 625-2200
Southeastern Emergency Physicians LLC
179 mi
Emergency Medicine
989 MEDICAL PARK DR
Maysville, KY 41056
  • Reassigned Medicare billing, Tennessee enrollment
  • 1,071 clinicians in this Medicare group
NPI 1356379382 (606) 759-5311
Emergency Coverage Services, PC
287 mi
Nurse Practitioner
1607 S LOCUST AVE
Lawrenceburg, TN 38464
  • Reassigned Medicare billing, Tennessee enrollment
  • 86 clinicians in this Medicare group
NPI 1053351593 (931) 762-6571
Chippewa Valley Hospital & Oakview Care Center Inc.
763 mi
Emergency Medicine
1220 3RD AVE W
Durand, WI 54736
  • Reassigned Medicare billing, Wisconsin enrollment
  • 44 clinicians in this Medicare group
NPI 1659471068 (715) 672-4211
Cowlitz Indian Tribe
2,174 mi
Rehabilitation, Substance Use Disorder
7105 NE 40TH ST
Vancouver, WA 98661
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Bristol Bay Area Health Corporation
  • 360 clinicians in this Medicare group
NPI 1538412630 (360) 353-9431

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 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 2

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

Mayo Clinic Health System Eau Claire Hospital

Acute Care Hospitals · Eau Claire, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520070
Location1221 Whipple StEau Claire, WI 54703 · Eau Claire County
Emergency services Birthing friendly

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.

Other Providers at the Same Location NPPES 18

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

DR. RAMIN A BEHMAND
Plastic Surgery
410 N STATE OF FRANKLIN RD STE 130
JOHNSON CITY, TN 37604
Washington County (423) 431-2477
RYAN M LANDIS MD
Surgery (Surgical Critical Care)
410 N STATE OF FRANKLIN RD STE 130
JOHNSON CITY, TN 37604
Washington County (423) 431-2477
ANTHONY JAMES MIDKIFF PA-C
Physician Assistant
410 N STATE OF FRANKLIN RD STE 130
JOHNSON CITY, TN 37604
Washington County (423) 431-2460
SAVANNA M WHITEHEAD NP
Nurse Practitioner (Family)
410 N STATE OF FRANKLIN RD STE 130
JOHNSON CITY, TN 37604
Washington County (423) 431-2477
ALICIA B LANDRY PA-C
Physician Assistant (Surgical)
410 N STATE OF FRANKLIN RD STE 130
JOHNSON CITY, TN 37604
Washington County (423) 431-2477
LOU M. SMITH M.D.
Surgery (Surgical Critical Care)
410 N STATE OF FRANKLIN RD STE 130
JOHNSON CITY, TN 37604
Washington County (423) 431-2477
JAMES OWEN THIGPEN PA-C
Physician Assistant (Medical)
410 N STATE OF FRANKLIN RD STE 130
JOHNSON CITY, TN 37604
Washington County (423) 431-2477
DR. ALEXANDRA NICOLE JOHNSON DO
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
410 N STATE OF FRANKLIN RD STE 130
JOHNSON CITY, TN 37604
Washington County (423) 431-2477

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 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.

Where is John Lichlyter located?

John Lichlyter practices at 410 N State Of Franklin Rd Ste 130, Johnson City, TN 37604. The listed phone number is (423) 431-2477.

What is John Lichlyter's specialty?

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

Is John Lichlyter enrolled in Medicare?

Yes. John Lichlyter 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 John Lichlyter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Lichlyter reassigns Medicare benefits to 5 organizations: Emergency Coverage, LLC (Newport, TN), Southeastern Emergency Physicians LLC (Maysville, KY), Emergency Coverage Services, PC (Lawrenceburg, TN), Chippewa Valley Hospital & Oakview Care Center Inc. (Durand, WI) and Cowlitz Indian Tribe (Vancouver, WA). 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 John Lichlyter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Lichlyter accept?

Health plans from Dean Health Plan list John Lichlyter 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 John Lichlyter affiliated with any hospitals?

According to CMS data, John Lichlyter is affiliated with Mayo Clinic Health System Eau Claire Hospital and Chippewa Valley Hospital.

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 12 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.