LACEY LILES MSN, APRN, FNP-BC
NPI 1063248326
Nurse Practitioner - Family in Woodbury, NJ

Q: What is Lacey Liles's NPI number?

The NPI number for Lacey Liles is 1063248326. It was assigned to this individual provider in the NPPES registry on September 12, 2024.

Q: What is Lacey Liles's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Lacey Liles was last updated on September 12, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 12, 2024PECOS EnrolledAccepts Medicare Assignment

75 W RED BANK AVE, WOODBURY, NJ 08096(856) 451-4700 Get Directions Write a Review

NPPES record last updated: September 12, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Lacey Liles Msn, Aprn, Fnp-bc NPPES

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

LACEY LILES MSN, APRN, FNP-BC (NPI 1063248326) is an individual family provider in Woodbury, New Jersey, licensed in New Jersey (26NJ15145700) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1063248326

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameLACEY LILESCredential: MSN, APRN, FNP-BC

Location Address75 W RED BANK AVEWoodbury, NJ 08096-1694

Mailing Address17 Burnett AveMays Landing, NJ 08330-4212 · (727) 460-7746

Phone(856) 451-4700

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateSeptember 12, 2024

NPPES CertifiedAugust 14, 2024

✔ NPI 1063248326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NJ · 26NJ15145700

75 W RED BANK AVE, Woodbury, NJ 08096

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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

Lacey Liles Msn, Aprn, Fnp-bc 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 ID1153818398

PECOS Enrollment IDI20251013002675

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 08096 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

$94.90 typical visit price

range $61.59 – $185.05

Typical copayment $23.72 (range $15.39 – $46.26)

Most-billed visit code 99203

Established Patient

$107.94 typical visit price

range $20.08 – $150.98

Typical copayment $26.98 (range $5.02 – $37.74)

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.

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Other Providers at the Same Location NPPES 10

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

DR. LIKHITHA MUSUNURU MD

Family Medicine