LICA MAE MONOBE (PA-C) – Physician Assistant, NPI 1679152904

LICA MAE MONOBE (PA-C) is a healthcare provider. based in Mt sterling, Kentucky. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA2948 (KY). The NPI Number for LICA MAE MONOBE (PA-C) is 1679152904

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
LICA MAE MONOBE (PA-C)
NPI
1679152904
Phone
(859) 499-0717
Address
148 SKYVIEW DR
Enumeration Date
5 April 2021
Last Update Date
1 April 2022

Doctor Profile

Medical School Name
UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Secondary Phone
8594990717
Graduation Year
2020 (6 years ago)
PAC ID
9436545225
Group Practice PAC ID
5395642177
Professional Enrollment ID
I20220404001494
Address ID
KY403531496MT148XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

1,736 PHYSICIAN ASSISTANT in KY

Provider Addresses for LICA MAE MONOBE (PA-C)

  • 148 SKYVIEW DR

    MT STERLING, KY 403531496

    Phone: (859) 499-0717

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 196 Open Payments records for all available years, with a total value of $4,052.

Total Amount is formed as General ($4,052) + Research ($0) + Ownership ($0) = $4,052.

Last reported payment date: 2024-12-06 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($663).

Total Amount

$4,052

General + Research + Ownership

Payments

196

Total payment records

General Amount

$4,052

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-06

Latest reported date

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: 2022-04-04

PECOS data refreshed: 2026-06-15

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
I20220404001494IPhysician AssistantKYTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes4841$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit1414$0
81003Automated urinalysis test1111$0
View full utilization report →

Insurance plans in this area (ZIP 40353)

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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: 5395642177View full group profile
NameSpecialtyState
Internal Medicine, NephrologyKY
Nurse PractitionerKY
Nurse PractitionerKY
Physician AssistantKY
Nurse PractitionerKY
Physician AssistantKY
Nurse PractitionerTX
Nurse PractitionerKY

Reviews

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Frequently asked questions

What is LICA MAE MONOBE (PA-C)'s NPI number?
LICA MAE MONOBE (PA-C)'s NPI is 1679152904 — the number used across U.S. healthcare to identify this provider.
Would LICA MAE MONOBE (PA-C) appear as active to a payer?
You can treat LICA MAE MONOBE (PA-C) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with LICA MAE MONOBE (PA-C)?
LICA MAE MONOBE (PA-C)'s record emphasizes Physician Assistant. Clinical services aligned with this taxonomy classification.
Is LICA MAE MONOBE (PA-C) located near Mt Sterling?
LICA MAE MONOBE (PA-C) currently maps to Mt Sterling, Kentucky in this extract.
When was this NPI issued?
Enumeration for LICA MAE MONOBE (PA-C) is noted as April 5, 2021 where the registry provides it.

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