VANESSA GAMMILL LICKSON (APRN) – Family Nurse Practitioner, NPI 1609343698
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,243 NURSE PRACTITIONER in FL
Provider Addresses for VANESSA GAMMILL LICKSON (APRN)
16875 NE CAYSON ST
BLOUNTSTOWN, FL 324242209
Phone: (850) 674-2244
Fax: (850) 674-2249
Type: Mailing
1905 HIDDEN VLY
TALLAHASSEE, FL 323084508
Phone: (850) 447-0066
Type: Mailing
403 E 11TH ST
PANAMA CITY, FL 324013409
Phone: (850) 747-5599
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 33 Open Payments records for all available years, with a total value of $582.
Total Amount is formed as General ($582) + Research ($0) + Ownership ($0) = $582.
Last reported payment date: 2024-11-22 • Largest payer in this snapshot: Lilly USA, LLC ($133).
Total Amount
$582
General + Research + Ownership
Payments
33
Total payment records
General Amount
$582
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $133 |
| Amgen Inc. | $106 |
| AstraZeneca Pharmaceuticals LP | $80 |
| Novartis Pharmaceuticals Corporation | $70 |
| GlaxoSmithKline, LLC. | $35 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-06-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190619000393 | I | Nurse Practitioner | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32424)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| R H E U M A T O L O G Y | KY | |
| Cardiovascular Disease (Cardiology), Internal Medicine | FL | |
| Physician Assistant | FL | |
| E N D O C R I N O L O G Y | MN | |
| - | FL | |
| - | IA | |
| Nurse Practitioner | FL | |
| - | FL | |
| - | FL | |
| Family Practice | FL |
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