LACY KOWALSKI (CNP) – Adult Health Nurse Practitioner, NPI 1780051383

LACY KOWALSKI (CNP) is a healthcare provider. based in Cleveland, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials CNP. They hold a License No. NP-17605 (OH). The NPI Number for LACY KOWALSKI (CNP) is 1780051383

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
LACY KOWALSKI (CNP)
NPI
1780051383
Phone
(440) 879-0081
Address
PO BOX 74647
Enumeration Date
31 August 2015
Last Update Date
31 August 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2164916552
Graduation Year
2015 (11 years ago)
PAC ID
0446567812
Group Practice PAC ID
2264337955
Professional Enrollment ID
I20150917000076
Address ID
OH441227024CL4110XRDXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for LACY KOWALSKI (CNP)

  • PO BOX 74647

    CLEVELAND, OH 441944647

    Phone: (440) 879-0081

    Fax: (440) 879-0084

    Type: Mailing

  • 4110 WARRENSVILLE CENTER RD

    WARRENSVILLE HEIGHTS, OH 441227024

    Phone: (216) 490-6000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $713.

Total Amount is formed as General ($713) + Research ($0) + Ownership ($0) = $713.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Daiichi Sankyo Inc. ($169).

Total Amount

$713

General + Research + Ownership

Payments

14

Total payment records

General Amount

$713

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

Latest reported date

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: 2015-09-17

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
I20150917000076INurse 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
99215Established patient office or other outpatient visit, 40-54 minutes11231$0
99214Established patient office or other outpatient visit, 30-39 minutes6630$0
View full utilization report →

Insurance plans in this area (ZIP 44194)

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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: 2264337955View full group profile
NameSpecialtyState
Nurse PractitionerOH
Nurse PractitionerOH
-OH
-OH
Physician AssistantOH
Nurse PractitionerOH
Physician AssistantOH
Physician AssistantOH
Nurse PractitionerOH
Nurse PractitionerOH

Reviews

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Frequently asked questions

What NPI should I save for LACY KOWALSKI (CNP)?
Save NPI 1780051383 if you need a stable reference for LACY KOWALSKI (CNP).
Is LACY KOWALSKI (CNP)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does LACY KOWALSKI (CNP) work in?
You can think of LACY KOWALSKI (CNP) as practicing within Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for LACY KOWALSKI (CNP)?
We surface Cleveland, Ohio for LACY KOWALSKI (CNP) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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