DR. AMY KATHLEEN LICIS MD
NPI 1992914352
Psychiatry & Neurology - Neurology in Saint Louis, MO
About Dr. Amy Kathleen Licis Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. AMY KATHLEEN LICIS MD (NPI 1992914352) is an individual neurology provider in Saint Louis, Missouri, licensed in Missouri (2009014878) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and is a graduate of Washington University School Of Medicine (2004).
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 1
Accepted Insurance
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
Dr. Amy Kathleen Licis Md 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.
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63144 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims 15
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
SAINT LOUIS, MO 63144
SAINT LOUIS, MO 63144
SAINT LOUIS, MO 63144
SAINT LOUIS, MO 63144
SAINT LOUIS, MO 63144
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 Amy Licis's NPI number?
The NPI number for Amy Licis is 1992914352. It was assigned to this individual provider in the NPPES registry on May 22, 2007.
Where is Amy Licis located?
Amy Licis practices at 1600 S Brentwood Blvd Div Neurology Sleep Med, Ste 600, Saint Louis, MO 63144. The listed phone number is (314) 362-1408.
What is Amy Licis's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.
Is Amy Licis enrolled in Medicare?
Yes. Amy Licis 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.
What insurance does Amy Licis accept?
Health plans from Cox HealthPlans list Amy Licis 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.
When was this NPI record last updated?
The NPPES record for Amy Licis was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Dr. Amy Kathleen Licis, MD · NPI 1992914352
Neurology physician in Saint Louis, Missouri. Individual provider, active in the CMS NPPES registry since May 22, 2007.
## Identity
- **NPI:** 1992914352 (Entity type: Individual)
- **Enumerated:** May 22, 2007
- **Primary specialty:** Psychiatry & Neurology - Neurology · taxonomy 2084N0400X
- **State license:** 2009014878 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 1600 S BRENTWOOD BLVD, DIV NEUROLOGY SLEEP MED, STE 600, Saint Louis, MO 63144-1320
- **Phone:** (314) 362-1408 · **Fax:** (314) 747-4342
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Washington University School Of Medicine, class of 2004
## Record status
- **NPPES last updated:** April 17, 2025
- **Other identifiers:** Medicaid 204515803 (MO)
---
Source: [NPI Profile](https://npiprofile.com/npi/1992914352) · Data from the CMS NPPES public registry.