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Allison Ickes, NURSE PRACTITIONER

NPI 1053823377ActiveIndividual· Nurse Practitioner· Plymouth Meeting, PA

Nurse Practitioner (NURSE PRACTITIONER) in Plymouth Meeting, Pennsylvania, licensed in PA, with an NPI issued in October 2017. Their prescriptions cost Medicare Part D more than their services did: $54,630 for 645 claims, against $26,018 paid for services in 2024.

Overview

NPI1053823377
StatusActive
Entity typeIndividual
CredentialNURSE PRACTITIONER
Sole proprietorNo
NPI issuedOct 26, 2017
Last updated in NPPESMar 28, 2023
Certified by providerMar 28, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner Primary363L00000XSP018005PA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Nurse Practitioner (PA)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients151
Services billed475 across 8 procedure codes
Paid by Medicare$26,018

Part D prescriptions in 2024

Prescriptions (claims)645 · 645 30-day fills
Patients116
Total drug cost$54,630
Generic share84% of claims

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

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