DR. JOHN WALTER LACE (PHD) – Clinical Psychologist, NPI 1528705050
Clinical Psychologist
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Profile Insights
NPPES metrics only — not quality of care.
192 CLINICAL PSYCHOLOGIST in IA
Provider Addresses for DR. JOHN WALTER LACE (PHD)
1026 A Ave NE
PMR - Neuropsychology
Cedar Rapids, IA 52402
Phone: (319) 369-7211
Type: Location
1821 S Webster Ave
Green Bay, WI 543012253
Phone: (920) 272-1610
Type: Location
PO BOX 19070
GREEN BAY, WI 543079070
Phone: (920) 496-4700
Type: Mailing
1821 S WEBSTER AVE
GREEN BAY, WI 543012253
Phone: (920) 272-1610
Type: Location
P O BOX 860912
MINNEAPOLIS, MN 554860912
Phone: (507) 284-2511
Type: Mailing
1303 MAIN STREET S
HOLMEN, WI 546368927
Phone: (608) 785-0940
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2024-10-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20220914003636 | I | Clinical Psychologist | WI | TBD |
| I20241002003016 | I | Clinical Psychologist | IA | 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 |
|---|---|---|---|---|
| 96139 | Administration of psychological or neuropsychological test by technician, each additional 30 minutes | 195 | 47 | $0 |
| 96133 | Evaluation of neuropsychological test, each additional hour | 91 | 57 | $0 |
| 96132 | Evaluation of neuropsychological test, first hour | 57 | 57 | $0 |
| 90791 | Psychiatric diagnostic evaluation | 55 | 55 | $0 |
| 96138 | Administration of psychological or neuropsychological test by technician, first 30 minutes | 50 | 50 | $0 |
Insurance plans in this area (ZIP 52402)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WI | |
| P S Y C H I A T R Y | WI | |
| Nurse Practitioner | WI | |
| Family Practice | WI | |
| Family Practice | WI | |
| - | WI | |
| - | MN | |
| - | MN | |
| U R O L O G Y | WI | |
| Physician Assistant | MN |
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