MS. LACIE PETITTO APRN
NPI 1063796985
Nurse Practitioner - Pediatrics in Little Rock, AR

Active since October 11, 2011PECOS EnrolledAccepts Medicare Assignment
1 CHILDRENS WAY, LITTLE ROCK, AR 72202(501) 364-5139 Get Directions Write a Review

NPPES record last updated: March 11, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Lacie Petitto Aprn NPPES

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

MS. LACIE PETITTO APRN (NPI 1063796985) is an individual pediatrics provider in Little Rock, Arkansas, licensed in Arkansas (A03583) and active in the NPI registry since October 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1063796985
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMS. LACIE PETITTOCredential: APRN
Location Address1 CHILDRENS WAYLittle Rock, AR 72202-3500
Mailing Address1 Childrens Way # 408Little Rock, AR 72202-3500 · (501) 364-1893 · Fax (501) 364-6878
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateOctober 11, 2011
Last NPPES UpdateMarch 11, 2014
NPI 1063796985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in AR · A03583
1 CHILDRENS WAY, Little Rock, AR 72202

Accepted 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

Ms. Lacie Petitto Aprn 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 ID8224294707
PECOS Enrollment IDI20251009001959
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 72202 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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 20

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

Nurse Practitioner
1 CHILDRENS WAY
LITTLE ROCK, AR 72202
Speech-Language Pathologist
1 CHILDRENS WAY
LITTLE ROCK, AR 72202
Optometrist
1 CHILDRENS WAY
LITTLE ROCK, AR 72202
Nurse Practitioner (Pediatrics)
1 CHILDRENS WAY
LITTLE ROCK, AR 72202
Nurse Practitioner (Family)
1 CHILDRENS WAY
LITTLE ROCK, AR 72202
Student in an Organized Health Care Education/Training Program
1 CHILDRENS WAY
LITTLE ROCK, AR 72202
Pediatrics
1 CHILDRENS WAY, SLOT ACH 512-19A
LITTLE ROCK, AR 72202
Audiologist
1 CHILDRENS WAY
LITTLE ROCK, AR 72202

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 Lacie Petitto's NPI number?

The NPI number for Lacie Petitto is 1063796985. It was assigned to this individual provider in the NPPES registry on October 11, 2011.

Where is Lacie Petitto located?

Lacie Petitto practices at 1 Childrens Way, Little Rock, AR 72202. The listed phone number is (501) 364-5139.

What is Lacie Petitto's specialty?

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

Is Lacie Petitto enrolled in Medicare?

Yes. Lacie Petitto 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 Lacie Petitto accept?

Health plans from Moda Health Plan, Inc. list Lacie Petitto 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 Lacie Petitto was last updated on March 11, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.