LACEY LEANN TAKHTAY (APRN-CNP) – Nurse Practitioner, NPI 1083258966

LACEY LEANN TAKHTAY (APRN-CNP) is a healthcare provider. based in Gahanna, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN-CNP. They hold a License No. APRN.CNP.0032631 (OH). The NPI Number for LACEY LEANN TAKHTAY (APRN-CNP) is 1083258966

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
LACEY LEANN TAKHTAY (APRN-CNP)
NPI
1083258966
Phone
(614) 396-2684
Address
701 Tech Center Dr Ste 120
Enumeration Date
4 November 2019
Last Update Date
4 May 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6143962684
Graduation Year
2019 (7 years ago)
PAC ID
6507290137
Group Practice PAC ID
5395758882
Professional Enrollment ID
I20230814001840
Address ID
OH432301987GA701XXDRXX400
Data current as of
3 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness85
Years active:6State licenses:2Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for LACEY LEANN TAKHTAY (APRN-CNP)

  • 701 Tech Center Dr Ste 120

    Gahanna, OH 432303942

    Phone: (614) 396-2684

    Fax: (614) 396-2480

    Type: Location

  • 500 E Main St Ste 220

    Columbus, OH 432155369

    Phone: (614) 544-9670

    Fax: (614) 544-9671

    Type: Location

  • 3600 PARK EAST DR APT 444

    BEACHWOOD, OH 441224356

    Phone: (937) 308-0087

    Type: Mailing

  • 5750 W THUNDERBIRD RD STE B200

    GLENDALE, AZ 853064664

    Phone: (602) 222-1900

    Type: Location

  • 701 TECH CENTER DR STE 250

    GAHANNA, OH 432303941

    Phone: (614) 396-2684

    Fax: (614) 396-2480

    Type: Mailing

  • 700 ACKERMAN RD STE 2120

    COLUMBUS, OH 432021559

    Phone: (614) 293-5123

    Fax: (614) 293-4890

    Type: Mailing

  • 2050 KENNY RD

    COLUMBUS, OH 432213502

    Phone: (614) 293-5123

    Fax: (614) 293-4890

    Type: Location

  • 701 TECH CENTER DR

    GAHANNA, OH 432303940

    Phone: (614) 396-2684

    Fax: (614) 396-2480

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $85.

Total Amount is formed as General ($85) + Research ($0) + Ownership ($0) = $85.

Last reported payment date: 2023-07-21 • Largest payer in this snapshot: Dendreon Pharmaceuticals LLC ($37).

Total Amount

$85

General + Research + Ownership

Payments

4

Total payment records

General Amount

$85

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-21

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2023-08-14

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200107001477INurse PractitionerAZTBD
I20230814001840INurse PractitionerOHTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes2619$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes2215$0
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes1919$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1715$0
View full utilization report →

Insurance plans in this area (ZIP 43230)

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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: 5395758882View full group profile
NameSpecialtyState
Radiation OncologyOH
U R O L O G YOH
U R O L O G YOH
Nurse PractitionerOH
Physician AssistantOH
U R O L O G YOH
Nurse PractitionerOH
U R O L O G YOH
U R O L O G YOH
U R O L O G YOH

Reviews

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Frequently asked questions

What number should I use to identify LACEY LEANN TAKHTAY (APRN-CNP) for billing?
Administrative and clinical systems typically use NPI 1083258966 for LACEY LEANN TAKHTAY (APRN-CNP).
Should I treat LACEY LEANN TAKHTAY (APRN-CNP) as an active provider?
Patients and plans typically see LACEY LEANN TAKHTAY (APRN-CNP) as active in the national extract.
Which specialty label fits LACEY LEANN TAKHTAY (APRN-CNP)?
NPPES ties LACEY LEANN TAKHTAY (APRN-CNP) to Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to LACEY LEANN TAKHTAY (APRN-CNP)?
LACEY LEANN TAKHTAY (APRN-CNP) shows a connection to Gahanna, Ohio in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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