Doctor profile · Federal record
Dr. Nerissa Licup, MD
Internal Medicine Physician (CMS: Internal Medicine) · Student in an Organized Health Care Education/Training Program · Kingsport, TN
- NPI 1720269731
- Accepts Medicare
- 22 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 4 locations .
- Primary practice
-
2205 Pavilion Dr Ste 101
Kingsport, TN 376604641
(423) 392-6000
fax (423) 392-6030 - Additional location
-
1 Medical Park Blvd Ste 200E
Bristol, TN 376207498
(423) 844-5100 - Additional location
-
111 W Stone Dr Ste 200
Kingsport, TN 376606028
(423) 723-2030 - Additional location
-
115 Judge Gresham RD Ste A
Gray, TN 376156213
(423) 467-3000 - Mailing address
-
1021 W Oakland Ave Ste 310
Johnson City, TN 376042192
Show 1 more location
Credentials & registration
- NPI registered
- November 2007 — 19 yrs on file
- Profile last updated
- June 10, 2024
- Year of graduation
- 2004 — 22 yrs since
- Specialty taxonomy
- 207R00000X — NUCC code
- State license (1)
- Tennessee #46416
- Medicaid (2)
- TN #1521020 · VA #1720269731
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1720269731. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$304
Transactions
16
Manufacturers
10
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| INOGEN, INC. | 4 | $58.47 | |
| GlaxoSmithKline, LLC. | 3 | $48.40 | |
| Novo Nordisk Inc | 2 | $36.84 | |
| Lundbeck LLC | 1 | $29.45 | |
| Philips North America LLC | 1 | $28.90 | |
| Eisai Inc. | 1 | $24.06 | |
| Exact Sciences Corporation | 1 | $23.39 | |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC | 1 | $22.37 | |
| Lilly USA, LLC | 1 | $18.38 | |
| AstraZeneca Pharmaceuticals LP | 1 | $13.39 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
373
Patients
142
Total drug cost
$5,006
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amlodipine Besylate | Generic | 41 | 23 | $196 |
| Atorvastatin Calcium | Generic | 40 | 24 | $564 |
| Levothyroxine Sodium | Generic | 38 | 18 | $668 |
| Losartan Potassium | Generic | 38 | 22 | $496 |
| Omeprazole | Generic | 27 | 15 | $503 |
| Lisinopril | Generic | 26 | 17 | $286 |
| Hydrochlorothiazide | Generic | 23 | 11 | $83 |
| Famotidine | Generic | 22 | 0 | $153 |
| Sertraline Hcl | Generic | 22 | 12 | $194 |
| Gabapentin | Generic | 21 | 0 | $255 |
Hospital affiliations
Frequently asked questions
What is Dr. Nerissa Licup's medical specialty?
Dr. Nerissa Licup practices Internal Medicine Physician in Kingsport, TN.
Where does Dr. Nerissa Licup practice?
Dr. Nerissa Licup practices at 2205 Pavilion Dr Ste 101, Kingsport, TN 376604641. Office phone: 4233926000.
What is Dr. Nerissa Licup's NPI?
Dr. Nerissa Licup's National Provider Identifier (NPI) is 1720269731, issued by NPPES.
Does Dr. Nerissa Licup accept Medicare assignment?
Yes. Dr. Nerissa Licup accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.