Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1255927216 Individual Practitioner Female Practitioner

Elisha Caitlyn Lico , NP

Nurse Practitioner • Worcester, MA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Elisha Lico, NP is a certified Nurse Practitioner practicing in Worcester, MA. With approximately 6 years of clinical experience since completing medical education in 2020, Elisha Lico delivers high-quality medical care to the local community at 55 LAKE AVE N.

Elisha Lico is affiliated with Umass Memorial Medical Group Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, reprogramming of programmable brain and spinal fluid shunt, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

55 Lake Ave N

Worcester, MA 016550002

Telephone 5083340605
Fax 5088565074
Associated Practice Facility / Clinic
🏢 Umass Memorial Medical Center Facility NPI 1679574933

Medicare Profile & Education

Medical School

Other

Graduation Year

2020

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Worcester, MA

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
6 Yrs -4.9 yrs vs City Avg
City Avg: 10.9 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
506 Specialists

Practicing in Worcester, MA (3545 Statewide)

Telehealth Adoption Rate
17.6% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
81.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Lico (6 Years) 6 Yrs
Worcester Specialty Average (10.9 Years) 10.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
175 143 $300.00 $55.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
141 125 $445.00 $81.83
62252 Reprogramming of programmable brain and spinal fluid shunt
21 19 $175.00 $37.48
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
18 16 $178.00 $29.72
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
11 11 $645.00 $112.21

Medical Specialties & State Licenses

CMS Verified: 2021-03-30
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MA RN2328010

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Acute Care

NUCC Taxonomy Code: 363LA2100X

State License MA RN2328010

Definition to come...

Hospital & Practice Group Affiliations

Umass Memorial Medical Group Inc

55 Lake Ave N, Worcester, MA 016550002

Phone: 5083341000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

34 Associated Practitioners
Dana Walker

Physician Assistant

NPI 1053955021
Corey Caracciolo

Physician Assistant

NPI 1063059566
Dr. Stephen Gutting , MD

Neurological Surgery

NPI 1063465615

Doctor of Medicine (M.D.)

John O'grady , PA-C

Physician Assistant

NPI 1083689020

Physician Assistant (Certified)

Justin Lepore

Nurse Practitioner

NPI 1114344389
Jeffery Giarnese , PA

Physician Assistant

NPI 1114991130

Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Business Mailing Address January 20, 2021

Registered at PO BOX 415348, BOSTON, MA 022415348

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 20, 2021

Nurse Practitioner (License #RN2328010 in MA)

NPI Profile Active December 14, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location December 14, 2020

Registered at 55 LAKE AVE N, WORCESTER, MA 016550002 (Tel: 5083340605)

📍
Updated Business Mailing Address December 14, 2020

Registered at 114 MILLBURY ST, GRAFTON, MA 015191020 (Tel: 9788334781)

👤
Provider Name / Credentials Updated December 14, 2020

Recorded as ELISHA LICO, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 14, 2020

Nurse Practitioner (License #RN2328010 in MA)

🟢
Initial NPI Registration & Enumeration December 14, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Elisha Lico. Be the first to share your experience!

Sign in to leave a review for Elisha Lico

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1255927216
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 14, 2020
Last Update: March 30, 2021
Sole Proprietor: No

Mailing Address

Po Box 415348

Boston, MA 022415348

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.