MRS. CONSTANCE SUE LACKNER (MSN APRN BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1922068022
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
10,664 NURSE PRACTITIONER in TN
Provider Addresses for MRS. CONSTANCE SUE LACKNER (MSN APRN BC)
101 LENA DR
ROGERSVILLE, TN 378572951
Phone: (423) 272-9239
Fax: (423) 272-1803
Type: Location
1167 SPRATLIN PARK DR
GRAY, TN 376156205
Phone: (423) 467-3600
Fax: (423) 467-3644
Type: Mailing
109, West Watauga Avenue, N C Love Addition, Johnson City, Washington County, Tennessee, 37604, United States
JOHNSON CITY, TN 376045621
Phone: (423) 232-2600
Fax: (423) 467-3644
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 55 Open Payments records for all available years, with a total value of $996.
Total Amount is formed as General ($996) + Research ($0) + Ownership ($0) = $996.
Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($266).
Total Amount
$996
General + Research + Ownership
Payments
55
Total payment records
General Amount
$996
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-14
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2005-01-21
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050121000245 | I | Nurse Practitioner | TN | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 91 | 47 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 20 | 16 | $0 |
Insurance plans in this area (ZIP 37857)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TN | |
| - | TN | |
| - | TN | |
| Nurse Practitioner | TN | |
| Mental Health Counselor | TN | |
| - | TN | |
| - | TN | |
| Marriage And Family Therapist | TN | |
| Mental Health Counselor | TN | |
| Nurse Practitioner | TN |
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