LACEE NICOLE LOWDER (MSN, APRN, FNP) – Nurse Practitioner, NPI 1043859697

LACEE NICOLE LOWDER (MSN, APRN, FNP) is a healthcare provider. based in Tupelo, Mississippi. specializing in Nurse Practitioner. They hold the professional credentials MSN, APRN, FNP. They hold a License No. 11190382 (MS). The NPI Number for LACEE NICOLE LOWDER (MSN, APRN, FNP) is 1043859697

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
LACEE NICOLE LOWDER (MSN, APRN, FNP)
NPI
1043859697
Phone
(918) 214-5820
Address
103 RAVENWOOD CV
Enumeration Date
30 December 2019
Last Update Date
30 December 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6622441000
Graduation Year
2017 (9 years ago)
PAC ID
0244668507
Group Practice PAC ID
9739188046
Professional Enrollment ID
I20200319001937
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

Provider Addresses for LACEE NICOLE LOWDER (MSN, APRN, FNP)

  • 103 RAVENWOOD CV

    TUPELO, MS 388047082

    Phone: (918) 214-5820

    Type: Mailing

  • 2520 5TH ST N

    COLUMBUS, MS 397052008

    Phone: (662) 244-1000

    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: 2021-08-12

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210812000161INurse PractitionerTNTBD

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.

Verify on CMS Revalidation Lookup Tool

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 38804)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9739188046View full group profile
NameSpecialtyState
Nurse PractitionerMS
Family PracticeSC
-MS
Family PracticeAL
Nurse PractitionerAL
Nurse PractitionerMS
Nurse PractitionerMS
Nurse PractitionerMS
-MS
Nurse PractitionerAL

Reviews

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Frequently asked questions

What is LACEE NICOLE LOWDER (MSN, APRN, FNP)'s NPI number?
LACEE NICOLE LOWDER (MSN, APRN, FNP)'s NPI is 1043859697 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to LACEE NICOLE LOWDER (MSN, APRN, FNP)?
You should see LACEE NICOLE LOWDER (MSN, APRN, FNP) as active in CMS-hosted NPPES data.
How would a patient describe LACEE NICOLE LOWDER (MSN, APRN, FNP)'s focus?
For LACEE NICOLE LOWDER (MSN, APRN, FNP), the primary taxonomy reads as Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is LACEE NICOLE LOWDER (MSN, APRN, FNP) associated with Tupelo?
Public fields place LACEE NICOLE LOWDER (MSN, APRN, FNP) around Tupelo, Mississippi. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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