Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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John Bradford Lichlyter, MSN, APRN, NP-C, CEN

Individual provider Emergency Registered Nurse · NPI 1629852900

John Bradford Lichlyter, MSN, APRN, NP-C, CEN is a Nurse Practitioner in Johnson City, Tennessee. Qualified in 2023, 3 years ago. Practices with Chippewa Valley Hospital and Oakview Care Center Inc, a 12-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee and Wisconsin.

Years since qualifying
3
Licensed in
TN, WI
In the registry since
2023
Specialties on file
4
What do these letters mean?
MSN — Master of Science in Nursing
A graduate nursing degree, usually held alongside an advanced practice licence.
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

See every abbreviation used in this directory →

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Practice location Address checks out

410 N State Of Franklin Rd Ste 130
Johnson City, TN 37604-6972
Phone: (423) 431-2477
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 907 E Lamar Alexander Pkwy, Maryville, TN 37804-5016 — (865) 804-0322

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 34973 (TN)
Emergency Registered Nurse Taxonomy 163WE0003X · Licence 224266 (TN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 34793 (TN)
Nurse Practitioner Taxonomy 363L00000X · Licence 15689-33 (WI)

Record details

NPI number1629852900
Entity typeIndividual (Type 1)
GenderMale
Credentials MSN , APRN , NP-C , CEN
Sole proprietorNo
NPI enumeratedAugust 21, 2023
Last updated in NPPESSeptember 26, 2025
Certification dateSeptember 26, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Chippewa Valley Hospital And Oakview Care Center Inc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients29
Services billed 50 a service is one billed item, such as a visit, a test or a procedure
Average patient age72

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

  • Chippewa Valley Hospital Hospital · Durand, WI

Colleagues at Chippewa Valley Hospital and Oakview Care Center Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 12 clinicians in the practice; 10 are shown here.

Other providers in Johnson City