ELIZABETH ROSE LICHTSINN (NP-C) – Family Nurse Practitioner, NPI 1235780362
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,191 NURSE PRACTITIONER in IN
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Provider Addresses for ELIZABETH ROSE LICHTSINN (NP-C)
200, West Jefferson Boulevard, Fort Wayne, Allen County, Indiana, 46802, United States
FORT WAYNE, IN 468046811
Phone: (260) 450-1313
Fax: (330) 282-8009
Type: Mailing
7881 CARNEGIE BLVD
FORT WAYNE, IN 468045792
Phone: (260) 436-8000
Fax: (260) 434-0929
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 114 Open Payments records for all available years, with a total value of $1,635.
Total Amount is formed as General ($1,635) + Research ($0) + Ownership ($0) = $1,635.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($455).
Total Amount
$1,635
General + Research + Ownership
Payments
114
Total payment records
General Amount
$1,635
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $455 |
| Janssen Biotech, Inc. | $433 |
| E.R. Squibb & Sons, L.L.C. | $238 |
| Incyte Corporation | $158 |
| Regeneron Healthcare Solutions, Inc. | $73 |
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: 2019-10-29
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 |
|---|---|---|---|---|
| I20191029003241 | I | Nurse Practitioner | IN | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 463 | 92 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 243 | 211 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 147 | 132 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 116 | 104 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 111 | 107 | $0 |
Insurance plans in this area (ZIP 46804)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | IN | |
| Physician Assistant | IN | |
| Nurse Practitioner | IN | |
| D E R M A T O L O G Y | OH | |
| Nurse Practitioner | IN | |
| - | IN | |
| Nurse Practitioner | IN | |
| D E R M A T O L O G Y | TX | |
| Nurse Practitioner | IN | |
| D E R M A T O L O G Y | IN |
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