Nerissa Licup, MD
NPI 1720269731 · Internal Medicine Physician · Kingsport, TN
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nerissa Licup, MD is a Internal Medicine Physician provider in Kingsport, TN (NPI 1720269731).
Provider details
- NPI number
- 1720269731
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
18 yrs in NPPES registry
- Profile completeness25% of score
83% of core fields populated
- Practice footprint15% of score
4 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
294 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. 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 .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 93 | $119 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 45 | $9 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 35 | $16 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 33 | $85 |
| Administration of Influenza Virus VaccineG0008 | 23 | $30 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent Visit |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 68 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Amlodipine Besylate | 111 | 52 |
| Gabapentin | 106 | 24 |
| Pantoprazole Sodium | 104 | 32 |
| Levothyroxine Sodium | 92 | 41 |
| Losartan Potassium | 88 | 34 |
| Sertraline Hcl | 79 | 33 |
| Lisinopril |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$304 across 16 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (3)
- 1 Medical Park Blvd Ste 200eBristol, TN 37620-7498Phone: (423) 844-5100
- 115 Judge Gresham Rd Ste aGray, TN 37615-6213Phone: (423) 467-3000
- 111 W Stone Dr Ste 200Kingsport, TN 37660-6028Phone: (423) 723-2030
Registry dates
- Enumerated
- 2007-11-19
- Last updated
- 2024-06-10
- Certified
- 2024-06-10
Frequently asked questions
- What is Nerissa Licup's NPI number?
- Nerissa Licup's National Provider Identifier (NPI) is 1720269731, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nerissa Licup's specialty?
- Nerissa Licup is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Nerissa Licup located?
- Nerissa Licup's practice location on file with NPPES is 2205 Pavilion Dr Ste 101, Kingsport, TN 37660-4641.
- What is Nerissa Licup's phone number?
- The practice phone number listed in the NPPES registry for Nerissa Licup is (423) 392-6000.
- Does Nerissa Licup accept Medicare?
- Nerissa Licup is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Nerissa Licup's NPI active?
- Yes — Nerissa Licup's NPI (1720269731) is active in the NPPES registry as of the last update on 2024-06-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.