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MEGHAN LICCIARDELLO PA
NPI 1689212482
Physician Assistant in Sacramento, CA

Active since December 12, 2019PECOS Enrolled
1451 RIVER PARK DR STE 260, SACRAMENTO, CA 95815(650) 826-2945 Get Directions Write a Review

NPPES record last updated: October 1, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 1, 2021, Dec 16, 2019, Dec 12, 2019 (3 updates tracked since 2019).

About Meghan Licciardello Pa NPPES

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

MEGHAN LICCIARDELLO PA (NPI 1689212482) is an individual physician assistant in Sacramento, California and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1689212482
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMEGHAN LICCIARDELLOCredential: PA
Location Address1451 RIVER PARK DR STE 260Sacramento, CA 95815-4504
Mailing Address300 Harding Blvd Ste 213Roseville, CA 95678-2474 · (916) 390-1347
Phone(650) 826-2945
Sole ProprietorNo
Enumeration DateDecember 12, 2019
Last NPPES UpdateOctober 1, 20213 updates tracked since enumeration
NPPES CertifiedOctober 1, 2021
✔ NPI 1689212482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1451 RIVER PARK DR STE 260, Sacramento, CA 95815
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Secondary Practice Locations 2

Location 1427 Grove StRoseville, CA 95678-1508 · Phone (916) 390-1347
Location 2300 Harding Blvd Ste 213Roseville, CA 95678-2474 · Phone (916) 390-1347

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Meghan Licciardello Pa 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.

Areas of Expertise CMS Part B claims 6

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
854 services182 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
689 services167 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
150 services145 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
109 services105 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
60 services42 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
36 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95815 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$75.03 typical visit price
range $19.88 – $148.15
Typical copayment $18.75 (range $4.97 – $37.03)
Most-billed visit code 99213
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 2

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

RODNEY M BRAUHER LMSW, PA-C
Physician Assistant (Medical)
1451 RIVER PARK DR STE 260
SACRAMENTO, CA 95815
Sacramento County (657) 400-5180
MR. CURTIS B FOWLER PA
Physician Assistant (Medical)
1451 RIVER PARK DR STE 260
SACRAMENTO, CA 95815
Sacramento County (650) 826-2945

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 Meghan Licciardello's NPI number?

The NPI number for Meghan Licciardello is 1689212482. It was assigned to this individual provider in the NPPES registry on December 12, 2019.

Where is Meghan Licciardello located?

Meghan Licciardello practices at 1451 River Park Dr Ste 260, Sacramento, CA 95815. The listed phone number is (650) 826-2945.

What is Meghan Licciardello's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Meghan Licciardello enrolled in Medicare?

Yes. Meghan Licciardello is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Meghan Licciardello was last updated on October 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.