LISA RENEE LACKEY APRN
NPI 1104122647
Nurse Practitioner - Family in Albuquerque, NM

Active since February 01, 2011PECOS EnrolledAccepts Medicare Assignment
6701 JEFFERSON ST NE, ALBUQUERQUE, NM 87109(505) 727-6200 Get Directions Write a Review

NPPES record last updated: December 6, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 6, 2024, Jan 31, 2020 (2 updates tracked since 2020).

About Lisa Renee Lackey Aprn NPPES

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

LISA RENEE LACKEY APRN (NPI 1104122647) is an individual family provider in Albuquerque, New Mexico, licensed in New Mexico (CNP-01735) and active in the NPI registry since February 2011. She is enrolled in Medicare PECOS, is affiliated with Lovelace Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1104122647
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLISA RENEE LACKEYCredential: APRN
Location Address6701 JEFFERSON ST NEAlbuquerque, NM 87109-4318
Mailing Address6701 Jefferson St NeAlbuquerque, NM 87109-4318 · (505) 727-6200
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateFebruary 1, 2011
Last NPPES UpdateDecember 6, 20242 updates tracked since enumeration
NPPES CertifiedDecember 6, 2024
NPI 1104122647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NM · CNP-01735
Also ListedNurse PractitionerTaxonomy 363L00000X · License 818418 (NV)
6701 JEFFERSON ST NE, Albuquerque, NM 87109

Other Names 1

Professional Name (2)Lisa Renee Lackey Rn Np-bc

Secondary Practice Locations 2

Location 11423 E Roosevelt AveGrants, NM 87020-2245 · Phone (505) 287-6500
Location 256 N Pecos RdHenderson, NV 89074-7331 · Phone (702) 877-5199

Other Identifiers 1

OtherCNP-01735NM · Nm License

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

Lisa Renee Lackey 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 ID8426209149
PECOS Enrollment IDI20121106000370
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
78 services53 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
73 services53 patients

Hospital Affiliations CMS Care Compare 3

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

Lovelace Medical Center

Acute Care Hospitals · Albuquerque, NM
3/5 CMS rating
OwnershipProprietary
CMS Certification Number320009
Location601 Dr Martin Luther King Jr Ave NEAlbuquerque, NM 87102 · Bernalillo County
Emergency services

Lovelace Women's Hospital

Acute Care Hospitals · Albuquerque, NM
1/5 CMS rating
OwnershipProprietary
CMS Certification Number320017
Location4701 Montgomery Boulevard NEAlbuquerque, NM 87109 · Bernalillo County
Emergency services Birthing friendly

Lovelace Westside Hospital

Acute Care Hospitals · Albuquerque, NM
2/5 CMS rating
OwnershipProprietary
CMS Certification Number320074
Location10501 Golf Course Road NWAlbuquerque, NM 87114 · Bernalillo County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87109 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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.

Pediatrics (Adolescent Medicine)
6701 JEFFERSON ST NE
ALBUQUERQUE, NM 87109
Obstetrics & Gynecology
6701 JEFFERSON ST NE
ALBUQUERQUE, NM 87109
Nurse Practitioner (Acute Care)
6701 JEFFERSON ST NE
ALBUQUERQUE, NM 87109
Nurse Practitioner (Adult Health)
6701 JEFFERSON ST NE
ALBUQUERQUE, NM 87109
Nurse Practitioner
6701 JEFFERSON ST NE
ALBUQUERQUE, NM 87109
General Practice
6701 JEFFERSON ST NE
ALBUQUERQUE, NM 87109
Nurse Practitioner (Family)
6701 JEFFERSON ST NE
ALBUQUERQUE, NM 87109
Family Medicine
6701 JEFFERSON ST NE
ALBUQUERQUE, NM 87109

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 Lisa Lackey's NPI number?

The NPI number for Lisa Lackey is 1104122647. It was assigned to this individual provider in the NPPES registry on February 1, 2011. The provider is also known as Lisa Renee Lackey Rn Np-Bc.

Where is Lisa Lackey located?

Lisa Lackey practices at 6701 Jefferson St NE, Albuquerque, NM 87109. The listed phone number is (505) 727-6200.

What is Lisa Lackey's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Lisa Lackey enrolled in Medicare?

Yes. Lisa 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.

Is Lisa Lackey affiliated with any hospitals?

According to CMS data, Lisa Lackey is affiliated with Lovelace Medical Center, Lovelace Women's Hospital and Lovelace Westside Hospital.

When was this NPI record last updated?

The NPPES record for Lisa Lackey was last updated on December 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.