John Bradford Lichlyter, MSN, APRN, NP-C, CEN - Medicare Nurse Practitioner in Johnson City, TN

John Bradford Lichlyter, MSN, APRN, NP-C, CEN is a medicare enrolled "Nurse Practitioner" in Johnson City, Tennessee. He graduated from nursing school in 2023 and has 2 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Chippewa Valley Hospital And Oakview Care Center Inc and his current practice location is 410 N State Of Franklin Rd Ste 130, Johnson City, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 431-2477.

John Bradford Lichlyter is licensed to practice in Tennessee (license number 34973) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1629852900.

Contact Information

John Bradford Lichlyter, MSN, APRN, NP-C, CEN
410 N State Of Franklin Rd Ste 130,
Johnson City, TN 37604-6972
(423) 431-2477
Not Available

Map and Direction




Provider's Profile

Full NameJohn Bradford Lichlyter
GenderMale
SpecialityNurse Practitioner
Experience2 Years
Location410 N State Of Franklin Rd Ste 130, Johnson City, Tennessee
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • John Bradford Lichlyter graduated from nursing school in 2023
  NPI Data:
  • NPI Number: 1629852900
  • Provider Enumeration Date: 08/21/2023
  • Last Update Date: 09/26/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 7719320779
  • Enrollment ID: I20250124002246

Medical Identifiers

Medical identifiers for John Bradford Lichlyter such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629852900NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WE0003XRegistered Nurse - Emergency 224266 (Tennessee)Secondary
363L00000XNurse Practitioner 34973 (Tennessee)Primary
363LF0000XNurse Practitioner - Family 34793 (Tennessee)Secondary
363L00000XNurse Practitioner 15689-33 (Wisconsin)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Chippewa Valley HospitalDurand, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Chippewa Valley Hospital And Oakview Care Center Inc69017005179

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. John Bradford Lichlyter allows following entities to bill medicare on his behalf.
Entity NameChippewa Valley Hospital & Oakview Care Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659471068
PECOS PAC ID: 6901700517
Enrollment ID: O20031125000470

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. John Bradford Lichlyter is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
John Bradford Lichlyter, MSN, APRN, NP-C, CEN
1021 W Oakland Ave Ste 310,
Johnson City, TN 37604-2192

Ph: (423) 302-6565
John Bradford Lichlyter, MSN, APRN, NP-C, CEN
410 N State Of Franklin Rd Ste 130,
Johnson City, TN 37604-6972

Ph: (423) 431-2477

Reviews and Comments


Nurse Practitioner Nurses in Johnson City, TN

Amber Ramsey, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615
Phone: 423-282-1480    Fax: 423-928-1353
Connie T Rutledge, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 303 Med Tech Pkwy Ste 100, Johnson City, TN 37604
Phone: 423-282-5611    Fax: 423-282-5712
Charity Helton, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 325 N. State Of Franklin Road, Ground Fl, Johnson City, TN 37604
Phone: 423-439-7320    
Meghan Marie Hollier, PMHNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1018 Chase Dr, Johnson City, TN 37604
Phone: 423-282-3379    Fax: 423-430-6227
Michael David Smith, NURSE PRACTITIONER
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3019 Peoples St # Condo300, Johnson City, TN 37604
Phone: 423-461-2100    Fax: 423-461-2199
Shelly J Mcintosh, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 301 Med Tech Pkwy, Suite 240, Johnson City, TN 37604
Phone: 423-794-5520    Fax: 423-282-0720
Mr. Seth M Mclaughlin, FNP NP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 926 W Oakland Ave Ste 208, Johnson City, TN 37604
Phone: 423-952-5300    Fax: 423-402-8557

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.