TAYLOR LACKEY
NPI 1083479539
Nurse Practitioner - Psychiatric/Mental Health in Menasha, WI

Active since February 14, 2024PECOS EnrolledAccepts Medicare Assignment
1095 MIDWAY RD, MENASHA, WI 54952(920) 720-2300 Get Directions Write a Review

NPPES record last updated: November 6, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Taylor Lackey NPPES

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

TAYLOR LACKEY (NPI 1083479539) is an individual psychiatric/mental health provider in Menasha, Wisconsin, licensed in Wisconsin (15030) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS, is affiliated with Thedacare Regional Med Ctr - Neenah, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1083479539
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameTAYLOR LACKEY
Location Address1095 MIDWAY RDMenasha, WI 54952-1115
Mailing Address3 Neenah CtrNeenah, WI 54956-3070 · (920) 720-2300
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateFebruary 14, 2024
Last NPPES UpdateNovember 6, 2025
NPPES CertifiedNovember 6, 2025
NPI 1083479539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in WI · 15030
Also ListedNurse PractitionerTaxonomy 363L00000X · License 15030 (WI)
1095 MIDWAY RD, Menasha, WI 54952

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

Taylor Lackey 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 ID1153768783
PECOS Enrollment IDI20240319001797
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Thedacare Regional Med Ctr - Neenah

Acute Care Hospitals · Neenah, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520045
Location130 2nd StNeenah, WI 54956 · Winnebago County
Emergency services Birthing friendly

Thedacare Regional Medical Center - Appleton Inc

Acute Care Hospitals · Appleton, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520160
Location1818 N Meade StAppleton, WI 54911 · Outagamie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54952 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

Counselor (Addiction (Substance Use Disorder))
1095 MIDWAY RD
MENASHA, WI 54952
Psychiatry & Neurology (Psychiatry)
1095 MIDWAY RD
MENASHA, WI 54952
Counselor
1095 MIDWAY RD
MENASHA, WI 54952
Counselor (Addiction (Substance Use Disorder))
1095 MIDWAY RD
MENASHA, WI 54952
Psychologist (Clinical)
1095 MIDWAY RD
MENASHA, WI 54952
Social Worker
1095 MIDWAY RD
MENASHA, WI 54952
Counselor (Addiction (Substance Use Disorder))
1095 MIDWAY RD
MENASHA, WI 54952
Social Worker (Clinical)
1095 MIDWAY RD
MENASHA, WI 54952

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 Taylor Lackey's NPI number?

The NPI number for Taylor Lackey is 1083479539. It was assigned to this individual provider in the NPPES registry on February 14, 2024.

Where is Taylor Lackey located?

Taylor Lackey practices at 1095 Midway Rd, Menasha, WI 54952. The listed phone number is (920) 720-2300.

What is Taylor Lackey's specialty?

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

Is Taylor Lackey enrolled in Medicare?

Yes. Taylor Lackey 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 Taylor Lackey accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Medica and 3 other insurers list Taylor Lackey 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.

Is Taylor Lackey affiliated with any hospitals?

According to CMS data, Taylor Lackey is affiliated with Thedacare Regional Med Ctr - Neenah and Thedacare Regional Medical Center - Appleton Inc.

When was this NPI record last updated?

The NPPES record for Taylor Lackey was last updated on November 6, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.