KASEY LAX (ARNP) – Family Nurse Practitioner, NPI 1346565629

KASEY LAX (ARNP) is a healthcare provider. based in Jackson, Tennessee. specializing in NURSE PRACTITIONER. They hold the professional credentials ARNP. They hold a License No. 139704 (TN). The NPI Number for KASEY LAX (ARNP) is 1346565629

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
KASEY LAX (ARNP)
NPI
1346565629
Phone
(731) 425-5752
Address
PO BOX 400
Enumeration Date
30 March 2010
Last Update Date
15 January 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7316868995
Graduation Year
2009 (17 years ago)
PAC ID
1153518469
Group Practice PAC ID
2668376872
Professional Enrollment ID
I20101213001062
Address ID
TN383583483MI4039XSTXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness75
Years active:16State licenses:2Digital endpointsOther names

10,656 NURSE PRACTITIONER in TN

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Provider Addresses for KASEY LAX (ARNP)

  • 400, Jackson County, Oregon, United States

    JACKSON, TN 383020400

    Phone: (731) 425-5752

    Fax: (731) 422-5743

    Type: Mailing

  • 622, West Market Street, Bolivar, Hardeman County, West Tennessee, Tennessee, 38008, United States

    BOLIVAR, TN 380082519

    Phone: (731) 658-2885

    Fax: (731) 658-2886

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $47.

Total Amount is formed as General ($47) + Research ($0) + Ownership ($0) = $47.

Last reported payment date: 2023-04-14 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($25).

Total Amount

$47

General + Research + Ownership

Payments

2

Total payment records

General Amount

$47

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-14

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: 2010-12-13

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
I20101213001062INurse 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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes442210$0
36415Insertion of needle into vein for collection of blood sample346222$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count321217$0
99214Established patient office or other outpatient visit, 30-39 minutes268163$0
J1100Injection, dexamethasone sodium phosphate, 1 mg24425$0
View full utilization report →

Insurance plans in this area (ZIP 38302)

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Provider's Procedures

KASEY LAX (ARNP) performs procedures in NURSE PRACTITIONER. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONERTN81002Urinalysis, manual test12890

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: 2668376872View full group profile
NameSpecialtyState
Nurse PractitionerTN
Family PracticeTN
E N D O C R I N O L O G YTN
-TN
-TN
G A S T R O E N T E R O L O G YTN
O P T O M E T R YTN
Certified Registered Nurse Anesthetist (Crna)TN
Interventional Cardiology, Cardiovascular Disease (Cardiology)TN
Certified Registered Nurse Anesthetist (Crna)TN

Reviews

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Frequently asked questions

Does KASEY LAX (ARNP) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — KASEY LAX (ARNP) uses 1346565629.
Is KASEY LAX (ARNP) listed as active for patients and plans?
The listing shows KASEY LAX (ARNP) as active in the NPI system.
What taxonomy line describes KASEY LAX (ARNP)?
For research purposes, treat KASEY LAX (ARNP) as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Does KASEY LAX (ARNP) list a practice location?
Patients near Jackson, Tennessee may find KASEY LAX (ARNP) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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