CARRIE ANN LICKLIDER CNP
NPI 1649812231
Nurse Practitioner - Adult Health in Huber Heights, OH

Active since October 15, 2019PECOS Enrolled
6504 WRENVIEW CT, HUBER HEIGHTS, OH 45424(937) 825-2127 Get Directions Write a Review

NPPES record last updated: October 15, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carrie Ann Licklider Cnp NPPES

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

CARRIE ANN LICKLIDER CNP (NPI 1649812231) is an individual adult health provider in Huber Heights, Ohio, licensed in Arizona (231814) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649812231
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameCARRIE ANN LICKLIDERCredential: CNP
Location Address6504 WRENVIEW CTHuber Heights, OH 45424-2731
Mailing Address6504 Wrenview CtHuber Heights, OH 45424-2731 · (937) 825-2127
Sole ProprietorNo
Enumeration DateOctober 15, 2019
NPI 1649812231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in AZ · 231814
6504 WRENVIEW CT, Huber Heights, OH 45424

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 Ann Licklider Cnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45424 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.

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 Carrie Licklider's NPI number?

The NPI number for Carrie Licklider is 1649812231. It was assigned to this individual provider in the NPPES registry on October 15, 2019.

Where is Carrie Licklider located?

Carrie Licklider practices at 6504 Wrenview Ct, Huber Heights, OH 45424. The listed phone number is (937) 825-2127.

What is Carrie Licklider's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Carrie Licklider enrolled in Medicare?

Yes. Carrie Licklider is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Carrie Licklider was last updated on October 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.