Active NPI 1558964635 Individual Practitioner Female Practitioner

Kelsey Licato , APN

Nurse Practitioner • Berkeley Heights, NJ

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Kelsey Licato, APN is a certified Nurse Practitioner practicing in Berkeley Heights, NJ. With approximately 6 years of clinical experience since completing medical education in 2020, Kelsey Licato delivers high-quality medical care to the local community at 1 DIAMOND HILL RD.

Kelsey Licato is affiliated with Consensus Medical Group Llc 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, insertion of needle into vein for collection of blood sample, blood test, comprehensive group of blood chemicals. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1 Diamond Hill Rd

Berkeley Heights, NJ 079222104

Telephone 9082734300

Associated Practice Facility / Clinic

🏢 Summit Medical Group Pa Facility NPI 1942254347

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 Berkeley Heights, NJ

Experienced Practitioner (5-10 Yrs)

Practitioner Clinical Experience

6 Yrs -6.0 yrs vs City Avg

City Avg: 12.0 Yrs

State Avg: 9.5 Yrs

Regional Practice Density

23 Specialists

Practicing in Berkeley Heights, NJ (1984 Statewide)

Telehealth Adoption Rate

8.7% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

61.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Licato (6 Years) 6 Yrs

Berkeley Heights Specialty Average (12.0 Years) 12.0 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	99	95	$204.36	$81.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	86	74	$287.12	$117.55
36415 Insertion of needle into vein for collection of blood sample	40	35	$15.32	$8.65
80053 Blood test, comprehensive group of blood chemicals	27	25	$34.25	$10.35
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	25	25	$27.15	$7.61
80061 Blood test, lipids (cholesterol and triglycerides)	20	20	$45.15	$13.12
84443 Blood test, thyroid stimulating hormone (TSH)	19	18	$60.47	$16.46
83036 Hemoglobin A1C level	15	15	$31.50	$9.52
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	15	15	$260.67	$119.82
81001 Manual urinalysis test with examination using microscope, automated	12	12	$13.00	$3.11
99441 Telephone medical discussion with physician, 5-10 minutes	11	11	$117.82	$36.86
G2211 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's	11	11	$39.00	$14.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	109	102	$188.00	$84.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	91	82	$274.00	$118.99
36415 Insertion of needle into vein for collection of blood sample	42	30	$15.00	$8.40
80053 Blood test, comprehensive group of blood chemicals	27	21	$40.00	$10.35
81001 Manual urinalysis test with examination using microscope, automated	24	23	$13.00	$3.11
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	23	19	$32.00	$7.61
84443 Blood test, thyroid stimulating hormone (TSH)	18	14	$69.00	$16.46
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	18	18	$236.00	$120.87
87086 Bacterial colony count, urine	16	16	$33.00	$7.91
87088 Bacterial urine culture	16	16	$34.00	$7.93
80061 Blood test, lipids (cholesterol and triglycerides)	14	12	$55.00	$13.12
99441 Telephone medical discussion with physician, 5-10 minutes	12	11	$116.00	$44.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	199	153	$274.00	$119.79
99213 Established patient office or other outpatient visit, typically 15 minutes	71	64	$188.00	$83.23
36415 Insertion of needle into vein for collection of blood sample	57	50	$15.00	$2.96
80053 Blood test, comprehensive group of blood chemicals	40	37	$40.00	$9.89
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	34	34	$32.00	$7.42
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	25	25	$236.00	$113.90
84443 Blood test, thyroid stimulating hormone (TSH)	24	21	$69.00	$15.84
87088 Bacterial urine culture	22	19	$34.00	$7.61
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within	21	20	$50.00	$22.29
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r	21	20	$200.00	$66.86
87086 Bacterial colony count, urine	20	17	$33.00	$7.55
81001 Manual urinalysis test with examination using microscope, automated	18	17	$13.00	$2.77
80061 Blood test, lipids (cholesterol and triglycerides)	18	16	$55.00	$11.51
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	15	14	$100.00	$36.11
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	14	14	$150.00	$30.52
90662 Influenza vaccine split virus, preservative free	12	12	$118.00	$62.55
G0008 Administration of influenza virus vaccine	12	12	$50.00	$30.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	64	60	$188.00	$87.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	62	59	$274.00	$122.44
36415 Insertion of needle into vein for collection of blood sample	24	22	$15.00	$3.00
87088 Bacterial urine culture	23	21	$34.00	$8.09
81001 Manual urinalysis test with examination using microscope, automated	22	19	$13.00	$3.17
80053 Blood test, comprehensive group of blood chemicals	18	18	$40.00	$10.56
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	17	17	$32.00	$7.77
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	16	16	$100.00	$45.23
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$116.00	$54.49

Medical Specialties & State Licenses

CMS Verified: 2020-11-19

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License NJ 26NJ01061700

(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 - Primary Care

NUCC Taxonomy Code: 363LP2300X

State License NJ 26NJ01061700

Definition to come...

Hospital & Practice Group Affiliations

Consensus Medical Group Llc

1401 Beaver Dam Rd, Point Pleasant Boro, NJ 087424970

Phone: 7322950808

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Silpa Gadiraju , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1003105750

Doctor of Medicine (M.D.)

Dr. John Dokko , DO

Internal Medicine - Nephrology

NPI 1003804550

Doctor of Osteopathic Medicine (D.O.)

Denise Rizzolo , PA

Physician Assistant

NPI 1003986191

Physician Assistant

Dr. Lawrence Nastro , MD

Internal Medicine - Infectious Disease

NPI 1013904861

Doctor of Medicine (M.D.)

Debra Ryan , PT

Physical Therapist

NPI 1013989045

Physical Therapist

Dr. Amir Salomon , MD

Radiology - Diagnostic Radiology

NPI 1033181011

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active November 19, 2020

NPI status registered as active in NPPES database

📍

Updated Practice Location November 19, 2020

Registered at 1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 079222104 (Tel: 9082734300)

📍

Updated Business Mailing Address November 19, 2020

Registered at 1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 079222104 (Tel: 9082734300)

👤

Provider Name / Credentials Updated November 19, 2020

Recorded as KELSEY LICATO, APN

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 19, 2020

Nurse Practitioner (License #26NJ01061700 in NJ)

🟢

Initial NPI Registration & Enumeration November 19, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1558964635

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 19, 2020

Last Update: November 19, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1 Diamond Hill Rd

Berkeley Heights, NJ 079222104

Phone: 9082734300

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.