STACEY ELIZABETH LACEY – Adult Health Nurse Practitioner, NPI 1679946008
Adult Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,299 NURSE PRACTITIONER in SC
Provider Addresses for STACEY ELIZABETH LACEY
1401 MEDICAL PKWY
BLDG B, STE 205
CEDAR PARK, TX 786137763
Phone: (512) 528-7401
Fax: (512) 528-7402
Type: Mailing
300 SINGLETON RIDGE RD
CONWAY, SC 295269142
Phone: (843) 347-8175
Fax: (432) 346-7598
Type: Location
148 Cypress Estates Dr
Murrells Inlet, SC 295768698
Phone: (512) 774-7054
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 106 Open Payments records for all available years, with a total value of $2,222.
Total Amount is formed as General ($2,222) + Research ($0) + Ownership ($0) = $2,222.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: ABBVIE INC. ($566).
Total Amount
$2,222
General + Research + Ownership
Payments
106
Total payment records
General Amount
$2,222
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $566 |
| Novo Nordisk Inc | $514 |
| Lilly USA, LLC | $308 |
| GlaxoSmithKline, LLC. | $165 |
| Phathom Pharmaceuticals, Inc. | $160 |
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: 2023-04-27
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 |
|---|---|---|---|---|
| I20230427002998 | I | Nurse Practitioner | SC | 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 | 77 | 66 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 41 | 33 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 27 | 27 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 25 | 14 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 23 | 23 | $0 |
Insurance plans in this area (ZIP 78613)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | SC | |
| - | SC | |
| - | NY | |
| Internal Medicine, Gastroenterology | TX | |
| Cardiac Electrophysiology, Cardiovascular Disease (Cardiology) | SC | |
| - | SC | |
| Family Practice, Peripheral Vascular Disease | PA | |
| Physician Assistant | SC | |
| Emergency Medicine | SC | |
| Emergency Medicine | NC |
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