VICKI LACKEY (ANP) – Family Nurse Practitioner, NPI 1760421663
Family Nurse Practitioner
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for VICKI LACKEY (ANP)
1950 45TH ST STE 200
MUNSTER, IN 463213958
Phone: (219) 912-3376
Fax: (219) 529-6267
Type: Mailing
Hammond Clinic, 7905, Calumet Avenue, Munster, Lake County, Indiana, 46321, United States
HAMMOND CLINIC LLC
MUNSTER, IN 463211215
Phone: (219) 836-7214
Fax: (219) 836-7299
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 150 Open Payments records for all available years, with a total value of $2,611.
Total Amount is formed as General ($2,611) + Research ($0) + Ownership ($0) = $2,611.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($358).
Total Amount
$2,611
General + Research + Ownership
Payments
150
Total payment records
General Amount
$2,611
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $358 |
| Novartis Pharmaceuticals Corporation | $325 |
| Amgen Inc. | $298 |
| SUN PHARMACEUTICAL INDUSTRIES INC. | $271 |
| PFIZER INC. | $224 |
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: 2004-03-04
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 |
|---|---|---|---|---|
| I20040304001059 | I | Nurse Practitioner | IN | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 469 | 82 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 226 | 151 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 156 | 107 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 73 | 57 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 72 | 72 | $0 |
Insurance plans in this area (ZIP 46321)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IN | |
| - | IN | |
| - | IN | |
| - | MI | |
| - | IN | |
| - | IN | |
| Family Practice | IN | |
| - | MI | |
| Internal Medicine | IN | |
| Internal Medicine, Emergency Medicine | MI |
Reviews
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