JESSICA LACY PA-C
NPI 1043769367
Physician Assistant - Medical in Carlsbad, CA

Active since September 27, 2016PECOS EnrolledAccepts Medicare Assignment
2176 SALK AVE, CARLSBAD, CA 92008(760) 901-5100 Get Directions Write a Review

NPPES record last updated: July 20, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 20, 2018, Sep 27, 2016 (2 updates tracked since 2016).

About Jessica Lacy Pa-c NPPES

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

JESSICA LACY PA-C (NPI 1043769367) is an individual medical provider in Carlsbad, California, licensed in California (53816) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1043769367
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameJESSICA LACYCredential: PA-C
Location Address2176 SALK AVECarlsbad, CA 92008
Mailing Address10790 Rancho Bernardo Rd # 4s-205San Diego, CA 92127-5705 · (760) 901-5100
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 27, 2016
Last NPPES UpdateJuly 20, 20182 updates tracked since enumeration
NPI 1043769367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in CA · 53816
2176 SALK AVE, Carlsbad, CA 92008

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jessica Lacy Pa-c 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.

PECOS PAC ID1052683299
PECOS Enrollment IDI20181012001028
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.

Areas of Expertise CMS Part B claims 9

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
171 services169 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
36 services36 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
28 services28 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
22 services22 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
22 services22 patients
Removal of impacted ear wax by washing 69209
Impacted ear wax removal by washing, also known as ear irrigation, involves using a pressurized flow of water to break up and dislodge the ear wax. This safe procedure helps restore normal hearing and relieve discomfort caused by the blockage.
21 services21 patients

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.

Internal Medicine
2176 SALK AVE
CARLSBAD, CA 92008
Family Medicine
2176 SALK AVE
CARLSBAD, CA 92008
Family Medicine
2176 SALK AVE
CARLSBAD, CA 92008
Nurse Practitioner (Pediatrics)
2176 SALK AVE
CARLSBAD, CA 92008
Family Medicine
2176 SALK AVE
CARLSBAD, CA 92008
Pediatrics
2176 SALK AVE
CARLSBAD, CA 92008
Physician Assistant (Medical)
2176 SALK AVE
CARLSBAD, CA 92008
Dietitian, Registered
2176 SALK AVE
CARLSBAD, CA 92008

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 Jessica Lacy's NPI number?

The NPI number for Jessica Lacy is 1043769367. It was assigned to this individual provider in the NPPES registry on September 27, 2016.

Where is Jessica Lacy located?

Jessica Lacy practices at 2176 Salk Ave, Carlsbad, CA 92008. The listed phone number is (760) 901-5100.

What is Jessica Lacy's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Jessica Lacy enrolled in Medicare?

Yes. Jessica Lacy 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.

When was this NPI record last updated?

The NPPES record for Jessica Lacy was last updated on July 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.