Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelsey Licato, APN

Individual provider Primary Care Nurse Practitioner · NPI 1558964635

Kelsey Licato, APN is a Nurse Practitioner in Berkeley Heights, New Jersey. Qualified in 2020, 6 years ago. Practices with Consensus Medical Group LLC, a 137-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New Jersey.

Years since qualifying
6
Licensed in
NJ
In the registry since
2020
Specialties on file
2
What do these letters mean?
APN — Advanced Practice Nurse
The umbrella title some states use for nurse practitioners and other advanced practice nurses.

See every abbreviation used in this directory →

Practice location Address checks out

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone: (908) 273-4300
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 26NJ01061700 (NJ)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 26NJ01061700 (NJ)

Record details

NPI number1558964635
Entity typeIndividual (Type 1)
GenderFemale
Credentials APN
Sole proprietorNo
NPI enumeratedNovember 19, 2020
Last updated in NPPESNovember 19, 2020
Certification dateNovember 19, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Consensus Medical Group Llc — 137 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Berkeley Heights