MRS. KELLY SUE LICARI (PHYSICIAN ASSISTANT) – Medical Physician Assistant, NPI 1568471050
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,035 PHYSICIAN ASSISTANT in IL
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Provider Addresses for MRS. KELLY SUE LICARI (PHYSICIAN ASSISTANT)
Northwest Community Hospital, 800, West Central Road, Arlington Heights, Wheeling Township, Cook County, Illinois, 60005, United States
NORTHWEST COMMUNITY HOSPITAL
ARLINGTON HEIGHTS, IL 600052349
Phone: (847) 618-3040
Type: Location
1886, Keystone Place, Schaumburg, Schaumburg Township, Cook County, Illinois, 60193, United States
SCHAUMBURG, IL 601933534
Phone: (773) 398-2686
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2017-12-27
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 |
|---|---|---|---|---|
| I20171227002248 | I | Physician Assistant | AZ | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 359 | 351 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 179 | 176 | $0 |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | 87 | 29 | $0 |
| 81002 | Urinalysis, manual test | 87 | 86 | $0 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 82 | 21 | $0 |
Insurance plans in this area (ZIP 60005)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | AZ | |
| Nurse Practitioner | AZ | |
| - | NH | |
| Family Practice | KS | |
| - | IL | |
| - | AZ | |
| Nurse Practitioner | AZ | |
| Physician Assistant | AZ | |
| - | AZ | |
| Nurse Practitioner | AZ |
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