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

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: October 25, 2026.

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
Open in Google Maps ↗

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

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.

Medicare Billing Reassignment

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

Community Health Care, Inc.
29 mi
Federally Qualified Health Center (FQHC)
30 NORTH PEARL STREET
Bridgeton, NJ 08302
  • Reassigned Medicare billing, New Jersey enrollment
  • 281 clinicians in this Medicare group
NPI 1700816816 (856) 451-4700

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 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.

Other Providers at the Same Location NPPES 9

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

DR. LIKHITHA MUSUNURU MD
Family Medicine
75 W RED BANK AVE
WOODBURY, NJ 08096
Gloucester County (856) 853-2056
MS. MARLO O WASHINGTON L LCSW
Social Worker (Clinical)
75 W RED BANK AVE
WOODBURY, NJ 08096
Gloucester County (856) 451-4700
YOSTINA MONTASSER BICHAY M.D.
Family Medicine
75 W RED BANK AVE
WOODBURY, NJ 08096
Gloucester County (856) 853-2055
COMMUNITY HEALTH CARE, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
75 W RED BANK AVE
WOODBURY, NJ 08096
Gloucester County (856) 451-4700
INSPIRA MEDICAL CENTER WOODBURY INC
Family Medicine
75 W RED BANK AVE
WOODBURY, NJ 08096
Gloucester County (856) 853-2055
GORDEN FU M.D.
Student in an Organized Health Care Education/Training Program
75 W RED BANK AVE
WOODBURY, NJ 08096
Gloucester County (856) 853-2055
ANILA MEHTA M.D.
Internal Medicine
75 W RED BANK AVE
WOODBURY, NJ 08096
Gloucester County (856) 853-2055
SHANIECE LATOYA CHAVIS DNP, APN, FNP-BC
Nurse Practitioner (Family)
75 W RED BANK AVE
WOODBURY, NJ 08096
Gloucester County (856) 225-6718

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 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.

Where is Lacey Liles located?

Lacey Liles practices at 75 W Red Bank Ave, Woodbury, NJ 08096. The listed phone number is (856) 451-4700.

What is Lacey Liles's specialty?

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

Is Lacey Liles enrolled in Medicare?

Yes. Lacey Liles 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 organization bills Medicare for Lacey Liles's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lacey Liles reassigns Medicare benefits to Community Health Care, Inc. (Bridgeton, NJ). 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 Liles's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lacey Liles was last updated on September 12, 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.