Jennifer Lacey, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1-107400 Issued in AL

Practice address

315 W Hickory St
Sylacauga, AL 35150-2913

Phone

(406) 600-9186

Fax

(781) 937-6442

NPI assigned

May 21, 2010

Last updated

May 21, 2010By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in AL

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, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Island Medical Alabama LLCGroup PAC ID 3072682103, 24 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

70.43 of 100Reported as group

Quality

65.59

Improvement activities

40

Cost

64.54

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

Practice roles

Locations

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

• Island Medical Alabama LLC

  • Emergency Medicine Physician
  • Cullman, AL
  • NPI 1104097666
  Medicare reassignment Care Compare group NPD
• Alteon Health Alabama, LLC

  • Emergency Medicine Physician
  • Talladega, AL
  • NPI 1477708857
  Medicare reassignment NPD
• American Family Care, LLC

  • Primary Care Clinic/Center
  • Birmingham, AL
  • NPI 1669429080
  Medicare reassignment NPD
• Immh Scottsboro LLC

  • Emergency Medicine Physician
  • Scottsboro, AL
  • NPI 1558762393
  Medicare reassignment NPD
• American Family Care, LLC

  • Family Medicine Physician
  • Vestavia Hills, AL
  • NPI 1265210645
  NPD
• Cullman Regional Medical Center, Inc

  • Radiology Clinic/Center
  • Hartselle, AL
  • NPI 1710640305
  NPD (past)

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

{
    "created_epoch": "1274400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274400000000",
    "number": "1538488143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 202712",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753202712",
            "telephone_number": "866-961-6774",
            "fax_number": "781-937-6442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W HICKORY ST",
            "city": "SYLACAUGA",
            "state": "AL",
            "postal_code": "351502913",
            "telephone_number": "406-600-9186",
            "fax_number": "781-937-6442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACEY",
        "first_name": "JENNIFER",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-21",
        "last_updated": "2010-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-107400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmen Brooke Knox, LCSW
• Kristen Heck, O.D.
• Laboratory Corporation of America Holdings
• Laboratory Corporation of America Holdings
• Laboratory Corporation of America Holdings
• Hahn Lau, RPT
• Davona Sheyvon Laurin, CRNP
• Kristen Lawhorn, CRNP
• Neal Laye
• Quincy Adam Leach, AGACNP

• Nurse Practitioner in Sylacauga, AL
• Providers in Sylacauga, AL by specialty
• Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2010; 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.