ASHLEY COBY LACKEY (CRNP) – Nurse Practitioner, NPI 1679847487
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,682 NURSE PRACTITIONER in AL
Provider Addresses for ASHLEY COBY LACKEY (CRNP)
19707 US HIGHWAY 280 E
APT 1309
SMITHS STATION, AL 368774031
Phone: (256) 572-5936
Type: Mailing
2986 US HIGHWAY 431
BOAZ, AL 359575848
Phone: (256) 572-5936
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 16 Open Payments records for all available years, with a total value of $581.
Total Amount is formed as General ($581) + Research ($0) + Ownership ($0) = $581.
Last reported payment date: 2024-11-18 • Largest payer in this snapshot: Galt Pharmaceuticals, LLC ($201).
Total Amount
$581
General + Research + Ownership
Payments
16
Total payment records
General Amount
$581
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-18
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2012-04-16
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120416000461 | I | Nurse Practitioner | AL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 36877)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | AL | 83036 | Hemoglobin A1C level | 14 | 14 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA |
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