1. Home
  2. Directory
  3. Tennessee
  4. Lebanon
  5. Nurse Practitioner
  6. NPI Profile

LACEY GOBER CRNP
NPI 1063091346
Nurse Practitioner - Pediatrics in Lebanon, TN

Active since April 05, 2021PECOS Enrolled
1029 W MAIN ST STE M, LEBANON, TN 37087(615) 453-1252 Get Directions Write a Review

NPPES record last updated: July 10, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 10, 2023, Nov 4, 2022, Apr 5, 2021 (3 updates tracked since 2021).

About Lacey Gober Crnp NPPES

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

LACEY GOBER CRNP (NPI 1063091346) is an individual pediatrics provider in Lebanon, Tennessee, licensed in Alabama (3-001079) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063091346
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameLACEY GOBERCredential: CRNP
Location Address1029 W MAIN ST STE MLebanon, TN 37087-3347
Mailing Address274 Hutch CtGallatin, TN 37066-1575 · (615) 627-8459
Phone(615) 453-1252
Sole ProprietorYes
Enumeration DateApril 5, 2021
Last NPPES UpdateJuly 10, 20233 updates tracked since enumeration
NPPES CertifiedJuly 10, 2023
✔ NPI 1063091346 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in AL · 3-001079
Also ListedRegistered NurseTaxonomy 163W00000X · License 0000237578 (TN)
1029 W MAIN ST STE M, Lebanon, TN 37087
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lacey Gober Crnp 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.

Medicare Billing Reassignment

Medicare enrollment records show Lacey Gober reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Houston County Healthcare Authority
307 mi
Internal Medicine
889 ELBA HWY
Troy, AL 36079
  • Reassigned Medicare billing, Alabama enrollment
  • 514 clinicians in this Medicare group
NPI 1295065811 (334) 347-3404

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37087 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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

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

MARGARET ALLISON DAVIS MSN, APRN, CPNP-PC
Nurse Practitioner (Pediatrics)
1029 W MAIN ST STE M
LEBANON, TN 37087
Wilson County (415) 250-3339

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 Lacey Gober's NPI number?

The NPI number for Lacey Gober is 1063091346. It was assigned to this individual provider in the NPPES registry on April 5, 2021.

Where is Lacey Gober located?

Lacey Gober practices at 1029 W Main St Ste M, Lebanon, TN 37087. The listed phone number is (615) 453-1252.

What is Lacey Gober's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Lacey Gober enrolled in Medicare?

Yes. Lacey Gober is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lacey Gober's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lacey Gober reassigns Medicare benefits to Houston County Healthcare Authority (Troy, AL). The 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 Lacey Gober's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lacey Gober accept?

Health plans from BlueCross BlueShield of Tennessee list Lacey Gober 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 Lacey Gober was last updated on July 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.