Casey Gallagher-Licitra, RN, PMHNP
NPI 1215439336 · Psychiatric/Mental Health Nurse Practitioner · Ithaca, NY
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Casey Gallagher-Licitra, RN, PMHNP is a Psychiatric/Mental Health Nurse Practitioner provider in Ithaca, NY (NPI 1215439336).
Provider details
- NPI number
- 1215439336
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- RN, PMHNP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 736778 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 101 Dates DrIthaca, NY 14850-1342Phone: (607) 274-4011
Registry dates
- Enumerated
- 2018-03-05
- Last updated
- 2025-01-07
- Certified
- 2025-01-07
Frequently asked questions
- What is Casey Gallagher-Licitra's NPI number?
- Casey Gallagher-Licitra's National Provider Identifier (NPI) is 1215439336, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Casey Gallagher-Licitra's specialty?
- Casey Gallagher-Licitra is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Casey Gallagher-Licitra located?
- Casey Gallagher-Licitra's practice location on file with NPPES is 201 E Green St, Ithaca, NY 14850-5635.
- What is Casey Gallagher-Licitra's phone number?
- The practice phone number listed in the NPPES registry for Casey Gallagher-Licitra is (607) 274-6200.
- Does Casey Gallagher-Licitra accept Medicare?
- Casey Gallagher-Licitra is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Casey Gallagher-Licitra's NPI active?
- Yes — Casey Gallagher-Licitra's NPI (1215439336) is active in the NPPES registry as of the last update on 2025-01-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.