Individual provider Active NPI

Lynetta Trice-Bickham, APRN FNP-BC

  • Family Nurse Practitioner
  • Aurora, IL
National Provider Identifier
1962987511
Registry record updated Mar 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209018295 Issued in IL
Practice address
400 N Highland Ave
Aurora, IL 60506-3814
Phone
(000) 123-4567
NPI assigned
Sep 29, 2018
Last updated
Mar 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2024

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 209018295 IL Primary

Addresses

Primary practice location

400 N Highland Ave
Aurora, IL 60506-3814

Mailing address

2405 Essington Rd
Suite B #64
Joliet, IL 60435-1204

Other names 1

  • Lynetta F Trice- Bickham Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20241114003651 FL Practitioner - Nurse Practitioner 8325278419 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2609 S Orange Ave
Orlando, FL 32806-4547
Phone (407) 203-0656

3759 Pleasant Hill Rd
Kissimmee, FL 34746-2937
Phone (863) 419-2723

440 W Hwy 436
Adventhealth Centra Care Altamonte
Altamonte Springs, FL 32714-4136
Phone (407) 788-2000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health System Sunbelt, Inc. Family Current Accepting new patients
Adventist Health System/Sunbelt, Inc. Family CurrentSince Nov 4, 2025 Accepting new patients
Adventist Health System/ Sunbelt, Inc. Family CurrentSince Nov 4, 2025 Accepting new patients
Logan Multispecialty Clinic S C PastSince Jun 1, 2020 Accepting new patients
Medworks Joliet Corp PastSince Mar 30, 2026 Accepting new patients

Locations

440 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 788-2000

Organizations & group practices 6

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 2

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": "1538179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711238400000",
    "number": "1962987511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405 ESSINGTON RD",
            "address_2": "SUITE B #64",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604351204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N HIGHLAND AVE",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605063814",
            "telephone_number": "000-123-4567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRICE-BICKHAM",
        "first_name": "LYNETTA",
        "credential": "APRN FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-29",
        "last_updated": "2024-03-24",
        "certification_date": "2024-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209018295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNETTA",
            "last_name": "TRICE- BICKHAM",
            "middle_name": "F",
            "credential": "APRN FNP-BC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Aurora, IL

Sources for this page

Verify at the official NPI Registry.