Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Dr. Nerissa Licup, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1720269731

Dr. Nerissa Licup, MD practises Internal Medicine in Kingsport, Tennessee. Qualified in 2004, 22 years ago. Practices with Blue Ridge Medical Management Corporation, a 286-clinician group, works from 4 locations, accepts Medicare assignment and offers telehealth. Licensed in Tennessee.

Years since qualifying
22
Licensed in
TN
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Kingsport, TN

No coordinates on file. Search this address in Google Maps

Additional practice locations (3)

  • 1 Medical Park Blvd Ste 200e, Bristol, TN 37620-7498 — (423) 844-5100
  • 115 Judge Gresham Rd Ste A, Gray, TN 37615-6213 — (423) 467-3000
  • 111 W Stone Dr Ste 200, Kingsport, TN 37660-6028 — (423) 723-2030

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 46416 (TN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1720269731
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 19, 2007
Last updated in NPPESJune 10, 2024
Certification dateJune 10, 2024

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Blue Ridge Medical Management Corporation — 286 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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 patients77
Services billed 453 a service is one billed item, such as a visit, a test or a procedure
Average patient age77

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.

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Food and Beverage $414 20 payments · a meal or drink at a meeting or visit, not a fee

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

  • Johnson City Medical Center Hospital · Johnson City, TN
  • Greeneville Community Hospital Hospital · Greeneville, TN
  • Indian Path Community Hospital Hospital · Kingsport, TN
  • Wellmont Bristol Regional Medical Center Hospital · Bristol, TN
  • Wellmont Holston Valley Medical Center Hospital · Kingsport, TN
  • Ballad Health Homecare Home health agency · Johnson City, TN

Colleagues at Blue Ridge Medical Management Corporation

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 286 clinicians in the practice; 12 are shown here.

Other providers in Kingsport