LACIE MICHELLE THEIS (ARNP, PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1871105916
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,529 NURSE PRACTITIONER in IA
Provider Addresses for LACIE MICHELLE THEIS (ARNP, PMHNP-BC)
814 EASTON AVE
WATERLOO, IA 507023916
Phone: (319) 961-0696
Type: Mailing
111 10TH ST SW
WAVERLY, IA 506772925
Phone: (319) 352-2329
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 302 Open Payments records for all available years, with a total value of $3,832.
Total Amount is formed as General ($3,832) + Research ($0) + Ownership ($0) = $3,832.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Alkermes, Inc. ($690).
Total Amount
$3,832
General + Research + Ownership
Payments
302
Total payment records
General Amount
$3,832
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alkermes, Inc. | $690 |
| Neurocrine BioSciences Inc. | $333 |
| Neurocrine BioSciences, Inc. | $275 |
| ITI, Inc. | $219 |
| Janssen Pharmaceuticals, Inc | $198 |
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: 2020-09-21
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 |
|---|---|---|---|---|
| I20200921001714 | I | Nurse Practitioner | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 67 | 22 | $0 |
| 90834 | Psychotherapy, 45 minutes | 39 | 26 | $0 |
Insurance plans in this area (ZIP 50702)
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