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LACY GARTH PMHNP-BC
NPI 1063266658
Nurse Practitioner - Psychiatric/Mental Health in Phoenix, AZ

Active since April 11, 2024PECOS EnrolledAccepts Medicare Assignment
2601 N 3RD ST STE 205, PHOENIX, AZ 85004(480) 494-3164(602) 354-9301 Get Directions Write a Review

NPPES record last updated: September 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 25, 2024, May 13, 2024, Apr 11, 2024 (3 updates tracked since 2024).

About Lacy Garth Pmhnp-bc NPPES

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

LACY GARTH PMHNP-BC (NPI 1063266658) is an individual psychiatric/mental health provider in Phoenix, Arizona, licensed in Arizona (306071) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1063266658
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameLACY GARTHCredential: PMHNP-BC
Location Address2601 N 3RD ST STE 205Phoenix, AZ 85004-1145
Mailing Address2601 N 3rd St Ste 205Phoenix, AZ 85004-1145 · (480) 494-3164
Phone(480) 494-3164
Fax(602) 354-9301
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateApril 11, 2024
Last NPPES UpdateSeptember 25, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2024
✔ NPI 1063266658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in AZ · 306071
2601 N 3RD ST STE 205, Phoenix, AZ 85004
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc., UnitedHealthcare.Insurance ›

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

Lacy Garth Pmhnp-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 ID6103358056
PECOS Enrollment IDI20241016002366
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 85004 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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 3

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

LOGAN KODYSZ NP
Nurse Practitioner (Psychiatric/Mental Health)
2601 N 3RD ST STE 205
PHOENIX, AZ 85004
Maricopa County (602) 492-2121
DESERT CLOVER PSYCHIATRY, LLC
Nurse Practitioner (Psychiatric/Mental Health)
2601 N 3RD ST STE 205
PHOENIX, AZ 85004
Maricopa County (602) 492-2121
MEGHAN TERWILLIGER
Counselor (Professional)
2601 N 3RD ST STE 205
PHOENIX, AZ 85004
Maricopa County (602) 492-2121

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 Lacy Garth's NPI number?

The NPI number for Lacy Garth is 1063266658. It was assigned to this individual provider in the NPPES registry on April 11, 2024.

Where is Lacy Garth located?

Lacy Garth practices at 2601 N 3rd St Ste 205, Phoenix, AZ 85004. The listed phone number is (480) 494-3164.

What is Lacy Garth's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Lacy Garth enrolled in Medicare?

Yes. Lacy Garth 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.

What insurance does Lacy Garth accept?

Health plans from Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Lacy Garth 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 Lacy Garth was last updated on September 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.