LACEY JANE KAPP (PA) – Physician Assistant, NPI 1831816859
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
10,570 PHYSICIAN ASSISTANT in CA
Provider Addresses for LACEY JANE KAPP (PA)
7325 Medical Center Dr Ste 200
West Hills, CA 913071938
Phone: (818) 981-2050
Fax: (818) 981-2382
Type: Location
420 34th St
Bakersfield, CA 933012237
Phone: (661) 633-2876
Type: Location
5767 W CENTURY BLVD STE 400
LOS ANGELES, CA 900455631
Phone:
Type: Mailing
7300A MEDICAL CENTER DR
WEST HILLS, CA 913071902
Phone: (818) 676-4511
Type: Location
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 $367.
Total Amount is formed as General ($367) + Research ($0) + Ownership ($0) = $367.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Smith+Nephew, Inc. ($297).
Total Amount
$367
General + Research + Ownership
Payments
16
Total payment records
General Amount
$367
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Smith+Nephew, Inc. | $297 |
| Avita Medical Americas, LLC | $26 |
| Avita Medical Americas, Llc | $23 |
| PolyNovo North America LLC | $22 |
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: 2023-03-08
PECOS data refreshed: 2026-05-27
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 |
|---|---|---|---|---|
| I20230308003001 | I | Physician Assistant | CA | 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 91307)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Plastic And Reconstructive Surgery | CA | |
| Plastic And Reconstructive Surgery | NC | |
| General Practice, Plastic And Reconstructive Surgery | CA | |
| Plastic And Reconstructive Surgery | CA | |
| Physical Medicine And Rehabilitation | CA | |
| Plastic And Reconstructive Surgery | CA | |
| Plastic And Reconstructive Surgery | CA | |
| Plastic And Reconstructive Surgery | CA | |
| Plastic And Reconstructive Surgery | CA | |
| Plastic And Reconstructive Surgery | CA |
Reviews
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