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Active NPI 1629852900 Individual Practitioner Male Practitioner

John Bradford Lichlyter , MSN, APRN, NP-C, CEN

Nurse Practitioner • Johnson City, TN

✓ Accepts Medicare Assignment
Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

John Lichlyter, MSN, APRN, NP-C, CEN is a registered Nurse Practitioner practitioner in Johnson City, TN. With approximately 3 years of clinical practice since completing medical education in 2023, John Lichlyter provides healthcare services at the registered practice location at 410 N STATE OF FRANKLIN RD STE 130.

John Lichlyter is affiliated with Chippewa Valley Hospital And Oakview Care Center Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

410 N State Of Franklin Rd Ste 130

Johnson City, TN 376046972

Telephone 4234312477
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2023

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Johnson City, TN

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
3 Yrs -7.2 yrs vs City Avg
City Avg: 10.2 Yrs
State Avg: 12.4 Yrs
Regional Practice Density
98 Specialists

Practicing in Johnson City, TN (2343 Statewide)

Telehealth Adoption Rate
3.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
62.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Lichlyter (3 Years) 3 Yrs
Johnson City Specialty Average (10.2 Years) 10.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
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
18 13 $285.00 $107.47
99213 Established patient office or other outpatient visit, typically 15 minutes
15 13 $192.00 $72.80

Medical Specialties & State Licenses

CMS Verified: 2025-09-26
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License TN 34973

(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.

Registered Nurse - Emergency

NUCC Taxonomy Code: 163WE0003X

State License TN 224266

Definition to come...

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License TN 34793

Definition to come...

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

State License WI 15689-33

(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.

Hospital & Practice Group Affiliations

Chippewa Valley Hospital And Oakview Care Center Inc

1220 3rd Ave W, Durand, WI 547361600

Phone: 7156424211

Secondary Practice Locations

907 E Lamar Alexander Pkwy

Maryville, TN 378045016

Phone: 8658040322

Practice Associates & Co-Workers

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

23 Associated Practitioners
Dr. Melissa Powell , MD

Surgery - Surgical Critical Care

NPI 1053407809

Doctor of Medicine (M.D.)

Raymond Smith , PA-C

Physician Assistant

NPI 1104006592

Physician Assistant (Certified)

Ramin Behmand

Plastic Surgery

NPI 1124129218
Ted White , ANP-BC

Nurse Practitioner - Adult Health

NPI 1134497787

ANPBC

Dr. Ryan Landis , MD

Surgery - Surgical Critical Care

NPI 1144665845

Doctor of Medicine (M.D.)

Stephen Steffey , PA

Physician Assistant

NPI 1174932107

Physician Assistant

Career & Practice History Timeline

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

12 Historical Events
📍
Updated Practice Location April 26, 2024

Registered at 410 N STATE OF FRANKLIN RD STE 130, JOHNSON CITY, TN 376046972 (Tel: 4234312477)

📍
Updated Business Mailing Address April 26, 2024

Registered at 1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 376042192 (Tel: 4233026565)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 26, 2024

Registered Nurse (License #224266 in TN)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 04, 2024

Nurse Practitioner (License #34973 in TN)

👤
Provider Name / Credentials Updated October 09, 2023

Recorded as JOHN LICHLYTER, MSN, APRN, NP-C, CEN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 09, 2023

Nurse Practitioner (License #34793 in TN)

NPI Profile Active September 08, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location September 08, 2023

Registered at 907 E LAMAR ALEXANDER PKWY, MARYVILLE, TN 378045016 (Tel: 8658040322)

📍
Updated Business Mailing Address September 08, 2023

Registered at 1316 RIDGE RD, MARYVILLE, TN 378033007 (Tel: 8658040322)

👤
Provider Name / Credentials Updated September 08, 2023

Recorded as JOHN LICHLYTER, MSN, RN, CEN, EMT-P

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 08, 2023

Registered Nurse (License #224266 in TN)

🟢
Initial NPI Registration & Enumeration August 21, 2023

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: 1629852900
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 21, 2023
Last Update: September 26, 2025
Sole Proprietor: No

Mailing Address

1021 W Oakland Ave Ste 310

Johnson City, TN 376042192

Phone: 4233026565

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.