LACY GARRISON (APRN) – Family Nurse Practitioner, NPI 1366086076

LACY GARRISON (APRN) is a healthcare provider. based in Okmulgee, Oklahoma. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. F09191574 (OK). The NPI Number for LACY GARRISON (APRN) is 1366086076

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
LACY GARRISON (APRN)
NPI
1366086076
Phone
Not provided
Address
111 S ALABAMA AVE
Enumeration Date
6 November 2019
Last Update Date
6 November 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9182242222
Graduation Year
2019 (7 years ago)
PAC ID
4385034610
Group Practice PAC ID
3072784289
Professional Enrollment ID
I20211201000448
Address ID
OK740665651SA303XXAVEX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:6State licenses:1Digital endpointsOther names

3,299 NURSE PRACTITIONER in OK

Provider Addresses for LACY GARRISON (APRN)

  • 111 S ALABAMA AVE

    OKMULGEE, OK 744475038

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 37 Open Payments records for all available years, with a total value of $1,010.

Total Amount is formed as General ($1,010) + Research ($0) + Ownership ($0) = $1,010.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($282).

Total Amount

$1,010

General + Research + Ownership

Payments

37

Total payment records

General Amount

$1,010

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

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: 2021-12-01

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20211201000448INurse PractitionerOKTBD

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 minutes7746$0
99213Established patient office or other outpatient visit, 20-29 minutes4523$0
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month4218$0
36415Insertion of needle into vein for collection of blood sample3021$0
80053Blood test, comprehensive group of blood chemicals2418$0
View full utilization report →

Insurance plans in this area (ZIP 74447)

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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: 3072784289View full group profile
NameSpecialtyState
Physician AssistantOK
Family PracticeOK
Nurse PractitionerOK
Family PracticeOK
Physician AssistantAZ
-OK
-OK
Nurse PractitionerOK
Nurse PractitionerOK
Nurse PractitionerOK

Reviews

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Frequently asked questions

What number should I use to identify LACY GARRISON (APRN) for billing?
Administrative and clinical systems typically use NPI 1366086076 for LACY GARRISON (APRN).
Is LACY GARRISON (APRN)'s NPI status active today?
Active status means LACY GARRISON (APRN)'s NPI record is not deactivated in the public file.
What services align with LACY GARRISON (APRN)'s listing?
LACY GARRISON (APRN)'s public classification highlights Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What city is tied to LACY GARRISON (APRN)?
The directory associates LACY GARRISON (APRN) with Okmulgee, Oklahoma. Check all listed addresses for suites or satellite offices.
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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