SHELLEY DOLKAS LICKL PA
NPI 1760416572
Physician Assistant in Newport Beach, CA

Q: What is Shelley Dolkas Lickl's NPI number?

The NPI number for Shelley Dolkas Lickl is 1760416572. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Q: What is Shelley Dolkas Lickl's specialty?

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

Active since July 10, 2006PECOS Enrolled

1 HOAG DR, ECU, NEWPORT BEACH, CA 92663(949) 764-5689 Get Directions Write a Review

NPPES record last updated: June 18, 2010. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Shelley Dolkas Lickl Pa NPPES

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

SHELLEY DOLKAS LICKL PA (NPI 1760416572) is an individual physician assistant in Newport Beach, California, licensed in California (PA17133) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760416572

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameSHELLEY DOLKAS LICKLCredential: PA

Location Address1 HOAG DR, ECUNewport Beach, CA 92663-4162

Mailing AddressPo Box 5445Orange, CA 92863-5445 · (714) 637-4307 · Fax (714) 282-9115

Phone(949) 764-5689

Sole ProprietorNo

Enumeration DateJuly 10, 2006

Last NPPES UpdateJune 18, 2010

✔ NPI 1760416572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in CA · PA17133

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.

1 HOAG DR, Newport Beach, CA 92663

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Other Identifiers 3

Medicare UPINQ10806

MedicaidPA17133CA

Medicare PINWPA17133ACA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shelley Dolkas Lickl 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 3

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.

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

72 services66 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

66 services65 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92663 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

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 20

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

DR. JACK MIN KAN M.D.

Anesthesiology

1 HOAG DR, DEPT OF ANESTHESIOLOGY
NEWPORT BEACH, CA 92663

Orange County (858) 565-9666

DR. MICHAEL GRAY MD

Hospitalist