HEATHER LICKE (MD) – Family Medicine Physician, NPI 1093026429

HEATHER LICKE (MD) is a healthcare provider. based in Goodland, Kansas. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 7525 (KS). The NPI Number for HEATHER LICKE (MD) is 1093026429

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
HEATHER LICKE (MD)
NPI
1093026429
Phone
(785) 890-4012
Address
106 WILLOW RD
Enumeration Date
30 June 2010
Last Update Date
11 May 2022

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
7853322682
Graduation Year
2010 (16 years ago)
PAC ID
9537334545
Group Practice PAC ID
7517958523
Professional Enrollment ID
I20111202000113
Address ID
KS677567756ST221XXSTXX401

Contacts

Secure Messaging
cch@cheyennecountyhospital.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness85
Years active:15State licenses:2Other namesUpdated within 12 months

1,421 FAMILY PRACTICE in KS

Provider Addresses for HEATHER LICKE (MD)

  • 106 WILLOW RD

    GOODLAND, KS 677351518

    Phone: (785) 890-4012

    Fax: (785) 890-6077

    Type: Mailing

  • 221 W 1ST ST

    SAINT FRANCIS, KS 677563540

    Phone: (785) 332-2682

    Fax: (785) 332-2516

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 25 Open Payments records for all available years, with a total value of $451.

Total Amount is formed as General ($451) + Research ($0) + Ownership ($0) = $451.

Last reported payment date: 2024-10-31 • Largest payer in this snapshot: ABBVIE INC. ($146).

Total Amount

$451

General + Research + Ownership

Payments

25

Total payment records

General Amount

$451

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-31

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2011-12-02

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20111202000113IFamily PracticeKSTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes7244$0
99239Hospital discharge day management, more than 30 minutes3936$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 67735)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7517958523View full group profile
NameSpecialtyState
Physician AssistantKS
Nurse PractitionerKS
Colorectal Surgery (Proctology), General SurgeryCO
-KS
Family PracticeOR
Family PracticeCO
Nurse PractitionerCO
Nurse PractitionerKS
Family PracticeKS

Reviews

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Frequently asked questions

Where can patients find HEATHER LICKE (MD)'s NPI?
You can confirm HEATHER LICKE (MD) with NPI 1093026429; it appears in the national provider directory.
Is HEATHER LICKE (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does HEATHER LICKE (MD) work in?
You can think of HEATHER LICKE (MD) as practicing within Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is HEATHER LICKE (MD)'s primary listing?
We display Goodland, Kansas because that is what the record indicates for HEATHER LICKE (MD).
How can I contact HEATHER LICKE (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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