LACY PITCHFORD CPNP
NPI 1003235672
Nurse Practitioner - Primary Care in Fort Worth, TX

Active since April 10, 2014PECOS Enrolled
1263 W ROSEDALE ST STE 200, FORT WORTH, TX 76104(817) 336-4896(817) 332-2805 Get Directions Write a Review

NPPES record last updated: May 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 8, 2024, Apr 14, 2021, Apr 6, 2021 (3 updates tracked since 2021).

About Lacy Pitchford Cpnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LACY PITCHFORD CPNP (NPI 1003235672) is an individual primary care provider in Fort Worth, Texas, licensed in Texas (AP125452) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003235672
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameLACY PITCHFORDCredential: CPNP
Location Address1263 W ROSEDALE ST STE 200Fort Worth, TX 76104-2837
Mailing AddressPo Box 733784Dallas, TX 75373-3784 · (682) 885-1855 · Fax (682) 885-1396
Fax(817) 332-2805
Sole ProprietorNo
Enumeration DateApril 10, 2014
Last NPPES UpdateMay 8, 20243 updates tracked since enumeration
NPPES CertifiedMay 8, 2024
NPI 1003235672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in TX · AP125452
Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X · License 684218 (TX)
1263 W ROSEDALE ST STE 200, Fort Worth, TX 76104

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Lacy Pitchford Cpnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
1263 W ROSEDALE ST STE 200
FORT WORTH, TX 76104
Pediatrics
1263 W ROSEDALE ST STE 200
FORT WORTH, TX 76104
Pediatrics
1263 W ROSEDALE ST STE 200
FORT WORTH, TX 76104

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lacy Pitchford's NPI number?

The NPI number for Lacy Pitchford is 1003235672. It was assigned to this individual provider in the NPPES registry on April 10, 2014.

Where is Lacy Pitchford located?

Lacy Pitchford practices at 1263 W Rosedale St Ste 200, Fort Worth, TX 76104. The listed phone number is (817) 336-4896.

What is Lacy Pitchford's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Lacy Pitchford enrolled in Medicare?

Yes. Lacy Pitchford is registered in the Medicare PECOS enrollment system.

What insurance does Lacy Pitchford accept?

Health plans from Imperial Insurance Companies, Inc. list Lacy Pitchford as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lacy Pitchford was last updated on May 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.