KATHLEEN LICKFELDT (NP-C) – Nurse Practitioner, NPI 1821457870
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,243 NURSE PRACTITIONER in FL
Provider Addresses for KATHLEEN LICKFELDT (NP-C)
3010 E 138th Ave
Ste 12
Tampa, FL 33613
Phone: (813) 975-2800
Type: Location
11052, Ancient Futures Drive, Tampa, Hillsborough County, Florida, 33647, United States
TAMPA, FL 336473575
Phone:
Type: Mailing
3010 E 138TH AVE
STE 12
TAMPA, FL 33613
Phone: (813) 975-2800
Type: Location
3803 W CHESTER PIKE STE 160
NEWTOWN SQUARE, PA 190732336
Phone:
Type: Mailing
930 GERMANTOWN PIKE
PLYMOUTH MEETING, PA 194627400
Phone: (484) 476-1000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 31 Open Payments records for all available years, with a total value of $655.
Total Amount is formed as General ($655) + Research ($0) + Ownership ($0) = $655.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($134).
Total Amount
$655
General + Research + Ownership
Payments
31
Total payment records
General Amount
$655
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2024-07-02
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 |
|---|---|---|---|---|
| I20240702002519 | I | Nurse Practitioner | PA | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 172 | 104 | $0 |
| 99304 | Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 43 | 43 | $0 |
Insurance plans in this area (ZIP 33613)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | PA | |
| Family Practice | PA | |
| - | PA | |
| General Surgery | PA | |
| - | PA | |
| - | PA | |
| Internal Medicine | PA | |
| Internal Medicine | PA | |
| - | PA | |
| Family Practice, Geriatric Medicine | PA |
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