Lacie A Brackeen, CFNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R858018 Issued in MS

Practice address

201 Baker Blvd
Leland, MS 38756-3401

Phone

(662) 686-4121

Fax

(662) 686-4770

NPI assigned

Sep 26, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lacie F Arrington Former name

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Indianola Clinic LLC 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Delta Health System - the Medical Center Hospital, Greenville, MS, CCN 250082

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: lacie.brackeen@dha.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Indianola Clinic, LLC

  • Federally Qualified Health Center (FQHC)
  • Leland, MS
  • NPI 1679673917

  MS

  Medicare reassignment Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Delta Health System

  • Oncology Clinic/Center
  • Greenville, MS
  • NPI 1184232498

  Hospital

  Care Compare affiliation
• Delta Health System

  • Rural Acute Care Hospital
  • Greenville, MS
  • NPI 1306921887

  Hospital

  Care Compare affiliation
• Delta Health System

  • Oncology Clinic/Center
  • Clarksdale, MS
  • NPI 1578171872

  Hospital

  Care Compare affiliation
• Delta Health System

  • Oncology Clinic/Center
  • Cleveland, MS
  • NPI 1972112183

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1348617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1336490713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 BAKER BLVD",
            "city": "LELAND",
            "state": "MS",
            "postal_code": "387563401",
            "telephone_number": "662-686-4121",
            "fax_number": "662-686-4770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 BAKER BLVD",
            "city": "LELAND",
            "state": "MS",
            "postal_code": "387563401",
            "telephone_number": "662-686-4121",
            "fax_number": "662-686-4770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRACKEEN",
        "first_name": "LACIE",
        "middle_name": "A",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-26",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R858018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006425036",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LACIE",
            "last_name": "ARRINGTON",
            "middle_name": "F",
            "credential": "CFNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Elizabeth Bell, PT
• Destiny D Bradley, M.ED., LPC, NCC
• Sheena Brown, LPC
• Nash Burnside, COTA
• Cassada Psychiatric Clinic PC
• Michelle B Clem, LPC

• All providers in Leland, MS
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.