JENNIFER LACEY (CRNP) – Nurse Practitioner, NPI 1538488143

JENNIFER LACEY (CRNP) is a healthcare provider. based in Dallas, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. 1-107400 (AL). The NPI Number for JENNIFER LACEY (CRNP) is 1538488143

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER LACEY (CRNP)
NPI
1538488143
Phone
(866) 961-6774
Address
PO BOX 202712
Enumeration Date
21 May 2010
Last Update Date
21 May 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2406862300
Graduation Year
2010 (16 years ago)
PAC ID
4880710300
Group Practice PAC ID
3072682103
Professional Enrollment ID
I20100922000051
Address ID
AL350580609CU1912X157X400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

Provider Addresses for JENNIFER LACEY (CRNP)

  • PO BOX 202712

    DALLAS, TX 753202712

    Phone: (866) 961-6774

    Fax: (781) 937-6442

    Type: Mailing

  • 315 W HICKORY ST

    SYLACAUGA, AL 351502913

    Phone: (406) 600-9186

    Fax: (781) 937-6442

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $17.

Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.

Last reported payment date: 2024-02-24 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($17).

Total Amount

$17

General + Research + Ownership

Payments

1

Total payment records

General Amount

$17

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-24

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: 2010-09-22

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
I20100922000051INurse PractitionerALTBD

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
99285Emergency department visit with high level of medical decision making6969$0
99284Emergency department visit with moderate level of medical decision making6867$0
99283Emergency department visit with low level of medical decision making2019$0
View full utilization report →

Insurance plans in this area (ZIP 75320)

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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: 3072682103View full group profile
NameSpecialtyState
Emergency MedicineNM
H O S P I T A L I S TAL
Nurse PractitionerAL
Nurse PractitionerAL
Hospitalist, Internal MedicineVA
-AL
Family Practice, Emergency MedicineAL
Nurse PractitionerAL
Nurse PractitionerAL
Emergency MedicineAL

Reviews

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Frequently asked questions

What federal number belongs to JENNIFER LACEY (CRNP)?
The federal identifier for JENNIFER LACEY (CRNP) is NPI 1538488143.
Is JENNIFER LACEY (CRNP)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is JENNIFER LACEY (CRNP)?
The page reflects Nurse Practitioner for JENNIFER LACEY (CRNP). Clinical services aligned with this taxonomy classification.
What location shows for JENNIFER LACEY (CRNP)?
We surface Dallas, Texas for JENNIFER LACEY (CRNP) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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