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LACEE MARIE CHILDERS PA
NPI 1073816583
Physician Assistant - Medical in Riverside, CA

Active since December 06, 2010PECOS Enrolled
94.62/100
CMS Quality Rating
4445 MAGNOLIA AVE, RIVERSIDE, CA 92501(951) 788-3200(951) 788-3200 Get Directions Write a Review

NPPES record last updated: September 14, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lacee Marie Childers Pa NPPES

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

LACEE MARIE CHILDERS PA (NPI 1073816583) is an individual medical provider in Riverside, California, licensed in California (PA21251) and active in the NPI registry since December 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073816583
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameLACEE MARIE CHILDERSCredential: PA
Location Address4445 MAGNOLIA AVERiverside, CA 92501-4135
Mailing AddressPo Box 79495Corona, CA 92877-0183 · (951) 788-3000
Phone(951) 788-3200
Fax(951) 788-3200
Sole ProprietorYes
Enumeration DateDecember 6, 2010
Last NPPES UpdateSeptember 14, 2013
✔ NPI 1073816583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in CA · PA21251
4445 MAGNOLIA AVE, Riverside, CA 92501
Open in Google Maps ↗

Other Names 1

Former Name (1)Lacee Marie Marshall Pa

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lacee Marie Childers Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.67
Improvement Activities40
Cost97.14

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.

MR. DAVID W LEVINE PA-C
Physician Assistant
4445 MAGNOLIA AVE
RIVERSIDE, CA 92501
Riverside County (951) 788-3381
STEVEN GREGORY PARKIN MD
Student in an Organized Health Care Education/Training Program
4445 MAGNOLIA AVE
RIVERSIDE, CA 92501
Riverside County (951) 788-3000
JAGMEET SINGH ARORA
Student in an Organized Health Care Education/Training Program
4445 MAGNOLIA AVE
RIVERSIDE, CA 92501
Riverside County (951) 966-8398
ASHFI HOQUE
Student in an Organized Health Care Education/Training Program
4445 MAGNOLIA AVE
RIVERSIDE, CA 92501
Riverside County (951) 495-9994
ALINA S POPA MD
Hospitalist
4445 MAGNOLIA AVE
RIVERSIDE, CA 92501
Riverside County (951) 788-3636
RIVERSIDE RADIOLOGY MEDICAL GROUP, INC
Radiology (Diagnostic Radiology)
4445 MAGNOLIA AVE
RIVERSIDE, CA 92501
Riverside County (951) 788-3400
SUPRIYA ANJALI BHUPATHY
Student in an Organized Health Care Education/Training Program
4445 MAGNOLIA AVE
RIVERSIDE, CA 92501
Riverside County (951) 786-5350
RUSHIL ANIL PATEL
Emergency Medicine
4445 MAGNOLIA AVE
RIVERSIDE, CA 92501
Riverside County (951) 788-3000

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 Lacee Childers's NPI number?

The NPI number for Lacee Childers is 1073816583. It was assigned to this individual provider in the NPPES registry on December 6, 2010. The provider is also known as Lacee Marie Marshall PA.

Where is Lacee Childers located?

Lacee Childers practices at 4445 Magnolia Ave, Riverside, CA 92501. The listed phone number is (951) 788-3200.

What is Lacee Childers's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Lacee Childers enrolled in Medicare?

Yes. Lacee Childers is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lacee Childers was last updated on September 14, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.