MRS. LACY XENIA CASTLEBERRY (NP) – Family Nurse Practitioner, NPI 1386397487

MRS. LACY XENIA CASTLEBERRY (NP) is a healthcare provider. based in Dallas, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 1058632 (TX). The NPI Number for MRS. LACY XENIA CASTLEBERRY (NP) is 1386397487

Main info

Female
Sole Proprietor
5 Years Of Experience
Name
MRS. LACY XENIA CASTLEBERRY (NP)
NPI
1386397487
Phone
(214) 887-6955
Address
6120 E MOCKINGBIRD LN
Enumeration Date
28 January 2022
Last Update Date
22 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2142722774
Graduation Year
2021 (5 years ago)
PAC ID
9537554886
Group Practice PAC ID
7810329638
Professional Enrollment ID
I20220323001025
Address ID
TX750705109MC5830XPKWY402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for MRS. LACY XENIA CASTLEBERRY (NP)

  • 6120 E MOCKINGBIRD LN

    DALLAS, TX 752142601

    Phone: (214) 887-6955

    Type: Mailing

  • 6000 BRYANT IRVIN RD

    FORT WORTH, TX 761324116

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2022-03-23

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
I20220323001025INurse PractitionerTXTBD

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 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 75214)

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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: 7810329638View full group profile
NameSpecialtyState
Nurse PractitionerTX
Nurse PractitionerIL
Nurse PractitionerTX
Internal Medicine, Nephrology, Internal Medicine, NephrologyGA
Nurse PractitionerIL
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Registered Dietitian Or Nutrition ProfessionalTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

What is the standard ID for MRS. LACY XENIA CASTLEBERRY (NP) in the U.S.?
In the U.S., MRS. LACY XENIA CASTLEBERRY (NP) is identified by NPI 1386397487.
Is MRS. LACY XENIA CASTLEBERRY (NP) currently accepting referrals based on NPI status?
Registry metadata lists MRS. LACY XENIA CASTLEBERRY (NP) as active.
What services align with MRS. LACY XENIA CASTLEBERRY (NP)'s listing?
MRS. LACY XENIA CASTLEBERRY (NP)'s public classification highlights Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is MRS. LACY XENIA CASTLEBERRY (NP) tied to Dallas, Texas?
If you are local to Dallas, Texas, MRS. LACY XENIA CASTLEBERRY (NP) may be relevant to your search.
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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