AMANDA LACKAYE DNP, CRNA
NPI 1023669272
Nurse Anesthetist, Certified Registered in Plantation, FL
About Amanda Lackaye Dnp, Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMANDA LACKAYE DNP, CRNA (NPI 1023669272) is an individual nurse anesthetist, certified registered in Plantation, Florida, licensed in Florida (128712) and active in the NPI registry since September 2019. She is affiliated with Novant Health Forsyth Medical Center, maintains 2 additional practice locations, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Amanda Lackaye Dnp, Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
17Medicare enrollment records show Amanda Lackaye reassigns Medicare billing to 17 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bolivia, NC 28422
- Reassigned Medicare billing, North Carolina enrollment
- 639 clinicians in this Medicare group
Lumberton, NC 28358
- Reassigned Medicare billing, North Carolina enrollment
- 906 clinicians in this Medicare group
Monroe, NC 28112
- Reassigned Medicare billing, North Carolina enrollment
- 926 clinicians in this Medicare group
Charlotte, NC 28277
- Reassigned Medicare billing, North Carolina enrollment
- 543 clinicians in this Medicare group
Matthews, NC 28105
- Reassigned Medicare billing, North Carolina enrollment
- 649 clinicians in this Medicare group
Charlotte, NC 28215
- Reassigned Medicare billing, North Carolina enrollment
- 703 clinicians in this Medicare group
Charlotte, NC 28262
- Reassigned Medicare billing, North Carolina enrollment
- 1,212 clinicians in this Medicare group
Huntersville, NC 28078
- Reassigned Medicare billing, North Carolina enrollment
- 545 clinicians in this Medicare group
Salisbury, NC 28144
- Reassigned Medicare billing, North Carolina enrollment
- 686 clinicians in this Medicare group
Lexington, NC 27292
- Reassigned Medicare billing, North Carolina enrollment
- 1,202 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Novant Health Forsyth Medical Center
Acute Care Hospitals · Winston-Salem, NCNorth Carolina Baptist Hospital
Acute Care Hospitals · Winston-Salem, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 33322 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PLANTATION, FL 33322
PLANTATION, FL 33322
PLANTATION, FL 33322
PLANTATION, FL 33322
PLANTATION, FL 33322
PLANTATION, FL 33322
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 Amanda Lackaye's NPI number?
The NPI number for Amanda Lackaye is 1023669272. It was assigned to this individual provider in the NPPES registry on September 27, 2019.
Where is Amanda Lackaye located?
Amanda Lackaye practices at 7700 W Sunrise Blvd, Plantation, FL 33322. The listed phone number is (954) 939-5409.
What is Amanda Lackaye's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Amanda Lackaye enrolled in Medicare?
Yes. Amanda Lackaye is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Amanda Lackaye's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Lackaye reassigns Medicare benefits to 17 organizations: Brunswick Community Hospital, LLC (Bolivia, NC), Cumberland County Hospital System Inc (Lumberton, NC), The Presbyterian Hospital (Monroe, NC), Presbyterian Sameday Surgery Center At Ballantyne LLC (Charlotte, NC), Novant Health Matthews Medical Center LLC (Matthews, NC) and 12 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amanda Lackaye's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Amanda Lackaye accept?
Health plans from AmeriHealth Caritas Next, Cigna Healthcare and Oscar Health Plan of North Carolina, Inc list Amanda Lackaye 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.
Is Amanda Lackaye affiliated with any hospitals?
According to CMS data, Amanda Lackaye is affiliated with Novant Health Forsyth Medical Center and North Carolina Baptist Hospital.
When was this NPI record last updated?
The NPPES record for Amanda Lackaye was last updated on October 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.
# Amanda Lackaye, DNP, CRNA · NPI 1023669272
Nurse Anesthetist, Certified Registered physician in Plantation, Florida. Individual provider, active in the CMS NPPES registry since September 27, 2019.
## Identity
- **NPI:** 1023669272 (Entity type: Individual)
- **Enumerated:** September 27, 2019
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 128712 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 7700 W SUNRISE BLVD, Plantation, FL 33322-4113
- **Phone:** (954) 939-5409
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 17 organizations under Medicare reassignment (form CMS-855R): Brunswick Community Hospital, LLC (NPI 1669725198, Bolivia, NC); Cumberland County Hospital System Inc (NPI 1235687385, Lumberton, NC); The Presbyterian Hospital (NPI 1750625356, Monroe, NC); Presbyterian Sameday Surgery Center At Ballantyne LLC (NPI 1154857662, Charlotte, NC); Novant Health Matthews Medical Center LLC (NPI 1184782419, Matthews, NC); and 12 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** October 7, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1023669272) · Data from the CMS NPPES public registry.