JENNIFER LEANN LACKEY
NPI 1104683846
Nurse Practitioner - Acute Care in Birmingham, AL

Active since February 29, 2024PECOS EnrolledAccepts Medicare Assignment
1802 6TH AVE S, BIRMINGHAM, AL 35233(205) 934-3411 Get Directions Write a Review

NPPES record last updated: April 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jennifer Leann Lackey NPPES

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

JENNIFER LEANN LACKEY (NPI 1104683846) is an individual acute care provider in Birmingham, Alabama, licensed in Alabama (1-148486) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1104683846
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameJENNIFER LEANN LACKEY
Location Address1802 6TH AVE SBirmingham, AL 35233-1932
Mailing AddressPo Box 55310Birmingham, AL 35255-5310 · (057) 319-7012
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateFebruary 29, 2024
Last NPPES UpdateApril 10, 2024
NPPES CertifiedApril 10, 2024
NPI 1104683846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in AL · 1-148486
1802 6TH AVE S, Birmingham, AL 35233

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

Jennifer Leann 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 ID7810337664
PECOS Enrollment IDI20240427000042
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 35233 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

Internal Medicine (Hematology & Oncology)
1802 6TH AVE S, NP 2556
BIRMINGHAM, AL 35233
Physician Assistant
1802 6TH AVE S
BIRMINGHAM, AL 35233
Nurse Practitioner (Acute Care)
1802 6TH AVE S
BIRMINGHAM, AL 35233
Registered Nurse
1802 6TH AVE S
BIRMINGHAM, AL 35233
Nurse Anesthetist, Certified Registered
1802 6TH AVE S
BIRMINGHAM, AL 35233
Nurse Anesthetist, Certified Registered
1802 6TH AVE S
BIRMINGHAM, AL 35233
Registered Nurse
1802 6TH AVE S
BIRMINGHAM, AL 35233
Registered Nurse
1802 6TH AVE S
BIRMINGHAM, AL 35233

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 Jennifer Lackey's NPI number?

The NPI number for Jennifer Lackey is 1104683846. It was assigned to this individual provider in the NPPES registry on February 29, 2024.

Where is Jennifer Lackey located?

Jennifer Lackey practices at 1802 6th Ave S, Birmingham, AL 35233. The listed phone number is (205) 934-3411.

What is Jennifer Lackey's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Jennifer Lackey enrolled in Medicare?

Yes. Jennifer 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 Jennifer Lackey accept?

Health plans from Blue Cross and Blue Shield of Alabama list Jennifer 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.

When was this NPI record last updated?

The NPPES record for Jennifer Lackey was last updated on April 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.