Individual provider Active NPI

Kelli Lichte, FNP-C

  • Family Nurse Practitioner
  • Lexington, MO
National Provider Identifier
1053919514
Registry record updated Nov 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2020033399 Issued in MO
Practice address
1026 Main St
Lexington, MO 64067-1345
Phone
(660) 259-2216
Fax
(660) 259-3490
NPI assigned
Oct 15, 2020
Last updated
Nov 4, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2020033399 MO Primary

Addresses

Primary practice location

1026 Main St
Lexington, MO 64067-1345

Mailing address

1026 Main St
Lexington, MO 64067-1345
Phone (660) 259-2216

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201110003211 MO Practitioner - Nurse Practitioner 9638589211 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Division - LRHC LLCGroup PAC ID 0941119150, 49 clinicians

Practice addresses (Care Compare)

1026 Main St
Lexington, MO 64067-1345
Phone (660) 259-2216

316 W US Hwy 40
Odessa Medical Group
Odessa, MO 64076-7445
Phone (816) 633-5774

609 Golf St
Odessa, MO 64076-1462
Phone (816) 230-7530

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2020033399MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Division - LRHC LLC CurrentSince Nov 23, 2020 Accepting new patients
Midwest Division - LRHC LLC Past Accepting new patients
Preferred Hospice of Missouri Central LLC Family Medicine PastSince Oct 1, 2020 Accepting new patients

Locations

1026 Main St
Lexington, MO 64067
Phone (660) 259-2216

1500 State St
Lexington, MO 64067
Phone (660) 259-2203

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1602720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635984000000",
    "number": "1053919514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1026 MAIN ST",
            "city": "LEXINGTON",
            "state": "MO",
            "postal_code": "640671345",
            "telephone_number": "660-259-2216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 MAIN ST",
            "city": "LEXINGTON",
            "state": "MO",
            "postal_code": "640671345",
            "telephone_number": "660-259-2216",
            "fax_number": "660-259-3490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LICHTE",
        "first_name": "KELLI",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-15",
        "last_updated": "2021-11-04",
        "certification_date": "2021-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2020033399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, MO

Sources for this page

Verify at the official NPI Registry.