MRS. KELLY LIN LICHT (APN) – Family Nurse Practitioner, NPI 1336589845

MRS. KELLY LIN LICHT (APN) is a healthcare provider. based in Chattanooga, Tennessee. specializing in NURSE PRACTITIONER. They hold the professional credentials APN. They hold a License No. 17739 (TN). The NPI Number for MRS. KELLY LIN LICHT (APN) is 1336589845

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KELLY LIN LICHT (APN)
NPI
1336589845
Phone
(423) 697-2000
Address
2501 CITICO AVE
Enumeration Date
28 June 2013
Last Update Date
26 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4234952525
Graduation Year
2013 (13 years ago)
PAC ID
8628219524
Group Practice PAC ID
8628978210
Professional Enrollment ID
I20130718000207
Address ID
TN374041161CH2525XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness85
Years active:12State licenses:1Digital endpointsOther names

10,664 NURSE PRACTITIONER in TN

Provider Addresses for MRS. KELLY LIN LICHT (APN)

  • 2501 CITICO AVE

    CHATTANOOGA, TN 374041127

    Phone: (423) 697-2000

    Fax: (423) 697-2118

    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 31 Open Payments records for all available years, with a total value of $2,148.

Total Amount is formed as General ($2,148) + Research ($0) + Ownership ($0) = $2,148.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Boston Scientific Corporation ($318).

Total Amount

$2,148

General + Research + Ownership

Payments

31

Total payment records

General Amount

$2,148

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

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: 2013-07-18

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
I20130718000207INurse PractitionerTNTBD

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 minutes148117$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes4540$0
View full utilization report →

Insurance plans in this area (ZIP 37404)

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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: 8628978210View full group profile
NameSpecialtyState
-TN
Cardiovascular Disease (Cardiology)TN
Nurse PractitionerTN
Cardiovascular Disease (Cardiology), Internal MedicineTN
Cardiovascular Disease (Cardiology)TN
Interventional Cardiology, Cardiovascular Disease (Cardiology)TN
Nurse PractitionerTN
Cardiovascular Disease (Cardiology)CT
Thoracic Surgery, Cardiac Surgery, Vascular SurgeryGA
Cardiovascular Disease (Cardiology), Cardiac ElectrophysiologyTN

Reviews

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Frequently asked questions

What is MRS. KELLY LIN LICHT (APN)'s NPI number?
MRS. KELLY LIN LICHT (APN)'s NPI is 1336589845 — the number used across U.S. healthcare to identify this provider.
Is MRS. KELLY LIN LICHT (APN) shown as active in public data?
Registry records indicate MRS. KELLY LIN LICHT (APN) maintains an active NPI.
What clinical focus is listed for MRS. KELLY LIN LICHT (APN)?
At a glance, MRS. KELLY LIN LICHT (APN) is tied to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is MRS. KELLY LIN LICHT (APN) associated with Chattanooga?
Public fields place MRS. KELLY LIN LICHT (APN) around Chattanooga, Tennessee. Always confirm the exact site before visiting.
Can I trust this NPI listing for MRS. KELLY LIN LICHT (APN)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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