KELSIE LICHTENBERGER PA-C
NPI 1770473746
Physician Assistant in Marshall, MI

Q: What is Kelsie Lichtenberger's NPI number?

The NPI number for Kelsie Lichtenberger is 1770473746. It was assigned to this individual provider in the NPPES registry on July 9, 2025.

Q: What is Kelsie Lichtenberger's specialty?

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

Active since July 09, 2025PECOS EnrolledAccepts Medicare Assignment

200 N MADISON ST, MARSHALL, MI 49068(269) 789-7040 Get Directions Write a Review

NPPES record last updated: July 9, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Kelsie Lichtenberger Pa-c NPPES

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

KELSIE LICHTENBERGER PA-C (NPI 1770473746) is an individual physician assistant in Marshall, Michigan, licensed in Michigan (5601013268) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS, is affiliated with Oaklawn Hospital, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1770473746

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameKELSIE LICHTENBERGERCredential: PA-C

Location Address200 N MADISON STMarshall, MI 49068-1143

Mailing Address1417 Woodridge DrDanville, IL 61832-1669 · (217) 799-7661

Phone(269) 789-7040

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateJuly 9, 2025

NPPES CertifiedJuly 9, 2025

✔ NPI 1770473746 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 MI · 5601013268

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.

200 N MADISON ST, Marshall, MI 49068

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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

Kelsie Lichtenberger Pa-c 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 ID2769968791

PECOS Enrollment IDI20260109001133

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.

Hospital Affiliations CMS Care Compare

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

Oaklawn Hospital

Acute Care Hospitals · Marshall, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number230217

Location200 N MadisonMarshall, MI 49068 · Calhoun County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49068 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

MRS. MARLO ARVILLA KIRBY MSN, NP

Nurse Practitioner