Individual provider Active NPI

Lacy Coker Kessler, M.D.

  • Obstetrics & Gynecology Physician
  • Waco, TX
National Provider Identifier
1629239579
Registry record updated Apr 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
P2879 Issued in TX
Practice address
2420 Wycon Dr
Suite 403
Waco, TX 76712-8987
Phone
(254) 420-0002
Fax
(254) 235-2443
NPI assigned
Jun 23, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X P2879 TX Primary

Addresses

Primary practice location

2420 Wycon Dr
Suite 403
Waco, TX 76712-8987

Mailing address

2430 Wendy LN
Waco, TX 76710-2013

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120726000722 TX Practitioner - Obstetrics/Gynecology 2062678592 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Texas Medical School at Houston, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lacy Coker Kessler M.D., P.a.Group PAC ID 1153587688, 5 clinicians

Practice addresses (Care Compare)

2420 Wycon Dr
Suite 403
Waco, TX 76712-8988
Phone (510) 346-5611

Hospital & facility affiliations

  • Baylor Scott & White Medical Center Hillcrest Hospital, Waco, TX, CCN 450101
  • Ascension Providence Hospital, Waco, TX, CCN 450042

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
P2879TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lacy Coker Kessler, MD, PA Obstetrics & Gynecology CurrentSince Aug 1, 2012 Accepting new patients
Heart of Texas Community Health Center, Inc. CurrentSince May 30, 2018 Accepting new patients
Heart of Texas Community Health Center, Inc CurrentSince May 30, 2018 Accepting new patients
Heart of Texas Community Health Center Inc Current Accepting new patients

Locations

1600 Providence Dr
Waco, TX 76707
Phone (254) 313-4200

2420 Wycon Dr
Ste 403
Woodway, TX 76712
Phone (254) 420-0002

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: lacy.kessler.1@28254.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491955200000",
    "number": "1629239579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2430 WENDY LN",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767102013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 WYCON DR",
            "address_2": "SUITE 403",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767128987",
            "telephone_number": "254-420-0002",
            "fax_number": "254-235-2443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESSLER",
        "first_name": "LACY",
        "middle_name": "COKER",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-23",
        "last_updated": "2017-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "P2879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

Verify at the official NPI Registry.