LACEY A JOHNSON (APRN) – Family Nurse Practitioner, NPI 1861832404
Family Nurse Practitioner
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Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
7,347 NURSE PRACTITIONER in KY
Provider Addresses for LACEY A JOHNSON (APRN)
PO BOX 111
CENTRAL CITY, KY 423300111
Phone: (270) 338-8300
Fax: (270) 338-8427
Type: Mailing
440 HOPKINSVILLE ST
GREENVILLE, KY 423451124
Phone: (270) 338-8300
Fax: (247) 033-8842
Type: Location
480 HOPKINSVILLE ST
GREENVILLE, KY 423451124
Phone: (270) 338-5777
Fax: (270) 338-5765
Type: Mailing
228 HOPKINSVILLE ST
GREENVILLE, KY 423451214
Phone: (270) 377-3077
Fax: (270) 377-3002
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $14.
Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Phathom Pharmaceuticals, Inc. ($14).
Total Amount
$14
General + Research + Ownership
Payments
1
Total payment records
General Amount
$14
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Phathom Pharmaceuticals, Inc. | $14 |
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: 2013-08-01
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 |
|---|---|---|---|---|
| I20130801000913 | I | Nurse Practitioner | KY | 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 |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 174 | 18 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 172 | 157 | $0 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 96 | 26 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 95 | 82 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 90 | 85 | $0 |
Insurance plans in this area (ZIP 42330)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | KY | 81002 | Urinalysis, manual test | 21 | 20 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | KY | |
| Nurse Practitioner | KY | |
| Clinical Social Worker | KY | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | KY | |
| Clinical Social Worker | KY | |
| Nurse Practitioner | KY | |
| Internal Medicine | KY | |
| Nurse Practitioner | KY |
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