LACY LOEB (FNP) – Family Nurse Practitioner, NPI 1366813545
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,017 NURSE PRACTITIONER in MO
Provider Addresses for LACY LOEB (FNP)
11445 OLIVE BLVD
CREVE COEUR, MO 631417108
Phone: (314) 428-9543
Fax: (314) 428-9542
Type: Mailing
1000 E Cherry St
Troy, MO 633791513
Phone: (636) 528-3495
Type: Location
900 E CHERRY ST
TROY, MO 633791429
Phone: (636) 528-8585
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 38 Open Payments records for all available years, with a total value of $760.
Total Amount is formed as General ($760) + Research ($0) + Ownership ($0) = $760.
Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Lilly USA, LLC ($162).
Total Amount
$760
General + Research + Ownership
Payments
38
Total payment records
General Amount
$760
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $162 |
| ABBVIE INC. | $156 |
| Amgen Inc. | $109 |
| Novo Nordisk Inc | $95 |
| Otsuka America Pharmaceutical, Inc. | $65 |
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: 2015-11-10
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 |
|---|---|---|---|---|
| I20151110002474 | I | Nurse Practitioner | MO | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 19 | 19 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 16 | 16 | $0 |
Insurance plans in this area (ZIP 63141)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | MO | |
| Nurse Practitioner | MO |
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