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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Active since April 11, 2024PECOS Enrolled
20950 N TATUM BLVD STE 380, PHOENIX, AZ 85050(480) 626-7584 Get Directions Write a Review

NPPES record last updated: November 2, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 2, 2026, Sep 25, 2024, May 13, 2024 and 1 more (4 updates tracked since 2024).

About Lacy Garth Pmhnp NPPES

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

LACY GARTH PMHNP (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
Location Address20950 N TATUM BLVD STE 380Phoenix, AZ 85050-4258
Mailing Address20950 N Tatum Blvd Ste 380Phoenix, AZ 85050-4258 · (480) 626-7584
Phone(480) 626-7584
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateApril 11, 2024
Last NPPES UpdateNovember 2, 20264 updates tracked since enumeration
NPPES CertifiedNovember 2, 2026
✔ 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
20950 N TATUM BLVD STE 380, Phoenix, AZ 85050
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Blue Cross Blue Shield of Arizona and more.Insurance ›

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

Lacy Garth Pmhnp 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Lacy Garth reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mind 247 Practice LLC
11 mi
Mental Health (Including Community Mental Health Center)
10046 N METRO PKWY W STE 115
Phoenix, AZ 85051
  • Reassigned Medicare billing, Arizona enrollment
  • 99 clinicians in this Medicare group
NPI 1811613417 (844) 646-3247
Peace Of Mind Consultants PLLC
14 mi
Psychiatric/Mental Health
3225 N 75TH ST, SUITE 125
Scottsdale, AZ 85251
  • Reassigned Medicare billing, Arizona enrollment
  • 13 clinicians in this Medicare group
NPI 1083088421 (480) 718-5986
Serenity Tms Centers LLC
466 mi
Psychiatry
3300 N TRIUMPH BLVD STE 500
Lehi, UT 84043
  • Reassigned Medicare billing, Arizona enrollment
  • 66 clinicians in this Medicare group
NPI 1710492095 (801) 821-2781

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 85050 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 10

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

ANGELA OAKLEY PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
20950 N TATUM BLVD STE 380
PHOENIX, AZ 85050
Maricopa County (480) 626-7584
MR. ELIAS OMAR RUILOBA MD
Psychiatry & Neurology (Psychiatry)
20950 N TATUM BLVD STE 380
PHOENIX, AZ 85050
Maricopa County (480) 626-7584
EKUEVUGBE PRISCILLIA ONOSODE PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
20950 N TATUM BLVD STE 380
PHOENIX, AZ 85050
Maricopa County (480) 626-7584
ALEXIA LYNN QUINTERO
Nurse Practitioner (Psychiatric/Mental Health)
20950 N TATUM BLVD STE 380
PHOENIX, AZ 85050
Maricopa County (480) 956-5670
LAURA SKIBA NP
Nurse Practitioner (Psychiatric/Mental Health)
20950 N TATUM BLVD STE 380
PHOENIX, AZ 85050
Maricopa County (480) 626-7584
TODD STEVEN CRAWFORD APRN, RNP, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
20950 N TATUM BLVD STE 380
PHOENIX, AZ 85050
Maricopa County (480) 626-7584
TARA LEEDHAM NP
Nurse Practitioner (Psychiatric/Mental Health)
20950 N TATUM BLVD STE 380
PHOENIX, AZ 85050
Maricopa County (480) 626-7584
YONG BUM LEE M.D.
Psychiatry & Neurology (Psychiatry)
20950 N TATUM BLVD STE 380
PHOENIX, AZ 85050
Maricopa County (480) 626-2024

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 20950 N Tatum Blvd Ste 380, Phoenix, AZ 85050. The listed phone number is (480) 626-7584.

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.

Which organizations bill Medicare for Lacy Garth's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lacy Garth reassigns Medicare benefits to 3 organizations: Mind 247 Practice LLC (Phoenix, AZ), Peace Of Mind Consultants PLLC (Scottsdale, AZ) and Serenity Tms Centers LLC (Lehi, UT). Each 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 Lacy Garth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lacy Garth accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, 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 November 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.