MRS. RENEE LICORISH (DNP, APRN, PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1437618097
Psychiatric/Mental Health Nurse Practitioner
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
22,204 NURSE PRACTITIONER in TX
Provider Addresses for MRS. RENEE LICORISH (DNP, APRN, PMHNP-BC)
6800 PARK TEN BLVD STE 200S
SAN ANTONIO, TX 782134293
Phone: (210) 261-1000
Fax: (210) 261-1821
Type: Mailing
17460 I-35N
SUITE 430-419
SCHERTZ, TX 78154
Phone: (832) 623-8131
Fax: (855) 631-4341
Type: Mailing
12702 TOEPPERWEIN RD STE 237
LIVE OAK, TX 782333231
Phone: (210) 475-3617
Type: Mailing
343 4TH AVE
BROOKLYN, NY 112152719
Phone: (929) 470-9881
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 15 Open Payments records for all available years, with a total value of $778.
Total Amount is formed as General ($778) + Research ($0) + Ownership ($0) = $778.
Last reported payment date: 2024-05-09 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($291).
Total Amount
$778
General + Research + Ownership
Payments
15
Total payment records
General Amount
$778
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Otsuka America Pharmaceutical, Inc. | $291 |
| Teva Pharmaceuticals USA, Inc. | $247 |
| Vanda Pharmaceuticals Inc. | $144 |
| ABBVIE INC. | $42 |
| Lundbeck LLC | $39 |
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: 2024-10-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20190422001000 | I | Nurse Practitioner | TX | TBD |
| I20241010001407 | I | Nurse Practitioner | NY | 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 |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 46 | 24 | $0 |
Insurance plans in this area (ZIP 78213)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | NY | |
| Internal Medicine | NY | |
| P A T H O L O G Y | NY | |
| Orthopedic Surgery | NY | |
| Diagnostic Radiology | NY | |
| E N D O C R I N O L O G Y | NY | |
| - | NY | |
| Nuclear Medicine | NY | |
| - | NY | |
| Cardiovascular Disease (Cardiology), Cardiac Electrophysiology | NY |
Reviews
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