STEVEN T LACKEY (N.P.) – Nurse Practitioner, NPI 1649222910

STEVEN T LACKEY (N.P.) is a healthcare provider. based in Memphis, Tennessee. specializing in NURSE PRACTITIONER. They hold the professional credentials N.P.. They hold a License No. 7045 (TN). The NPI Number for STEVEN T LACKEY (N.P.) is 1649222910

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
STEVEN T LACKEY (N.P.)
NPI
1649222910
Phone
(901) 866-8811
Address
1331 UNION AVE STE 1145
Enumeration Date
16 May 2006
Last Update Date
7 August 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5054133719
Graduation Year
1998 (28 years ago)
PAC ID
6800817776
Group Practice PAC ID
5799143103
Professional Enrollment ID
I20190829000440
Address ID
NM87110XXXXALXXXXXXXXXX00
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:20State licenses:3Digital endpointsOther names

10,728 NURSE PRACTITIONER in TN

Provider Addresses for STEVEN T LACKEY (N.P.)

  • 1331 UNION AVE STE 1145

    MEMPHIS, TN 381047509

    Phone: (901) 866-8811

    Type: Location

  • 6025 Walnut Grove Rd

    Ste. 508

    Memphis, TN 381202131

    Phone: (901) 767-5864

    Fax: (901) 767-6591

    Type: Location

  • PO BOX 26666

    PROVIDER ENROLLMENT

    ALBUQUERQUE, NM 871256666

    Phone: (505) 923-6770

    Type: Mailing

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 $230.

Total Amount is formed as General ($230) + Research ($0) + Ownership ($0) = $230.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($122).

Total Amount

$230

General + Research + Ownership

Payments

2

Total payment records

General Amount

$230

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

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: 2019-08-29

PECOS data refreshed: 2026-06-15

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
I20190829000440INurse PractitionerNMTBD

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
99284Emergency department visit with moderate level of medical decision making119114$0
99285Emergency department visit with high level of medical decision making4241$0
99283Emergency department visit with low level of medical decision making2323$0
View full utilization report →

Insurance plans in this area (ZIP 38104)

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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: 5799143103View full group profile
NameSpecialtyState
Internal MedicineTN
Nurse PractitionerNM
Nurse PractitionerAL
Nurse PractitionerNM
Nurse PractitionerNM
Nurse PractitionerWA
Nurse PractitionerTX
Nurse PractitionerWA
Nurse PractitionerTX
General PracticeCA

Reviews

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Frequently asked questions

What is the standard ID for STEVEN T LACKEY (N.P.) in the U.S.?
In the U.S., STEVEN T LACKEY (N.P.) is identified by NPI 1649222910.
Is STEVEN T LACKEY (N.P.)'s NPI status active today?
Active status means STEVEN T LACKEY (N.P.)'s NPI record is not deactivated in the public file.
What type of care does STEVEN T LACKEY (N.P.) provide?
STEVEN T LACKEY (N.P.)'s profile centers on Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to STEVEN T LACKEY (N.P.)?
STEVEN T LACKEY (N.P.) is associated with Memphis, Tennessee in the same public data insurers reference.
Can I export STEVEN T LACKEY (N.P.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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