JENNIFER LEANN LACKEY
NPI 1104683846
Nurse Practitioner - Acute Care in Birmingham, AL
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Jennifer Lackey reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Birmingham, AL 35233
- Reassigned Medicare billing, Alabama enrollment
- 4,494 clinicians in this Medicare group
Carrollton, GA 30117
- Reassigned Medicare billing, Georgia enrollment
- 232 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
BIRMINGHAM, AL 35233
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.
Which organizations bill Medicare for Jennifer Lackey's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Lackey reassigns Medicare benefits to 2 organizations: University Of Alabama Health Services Foundation, PC (Birmingham, AL) and Tanner Medical Group Inc (Carrollton, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jennifer Lackey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jennifer Lackey accept?
Health plans from Ambetter Health, Ambetter of Alabama and Ambetter of Tennessee 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.
# Jennifer Leann Lackey · NPI 1104683846
Acute Care physician in Birmingham, Alabama. Individual provider, active in the CMS NPPES registry since February 29, 2024.
## Identity
- **NPI:** 1104683846 (Entity type: Individual)
- **Enumerated:** February 29, 2024
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 1-148486 (Alabama)
- **Sole proprietor:** No
## Practice location
- **Address:** 1802 6TH AVE S, Birmingham, AL 35233-1932
- **Phone:** (205) 934-3411
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): University Of Alabama Health Services Foundation, PC (NPI 1356377576, Birmingham, AL); Tanner Medical Group Inc (NPI 1396979787, Carrollton, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** April 10, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1104683846) · Data from the CMS NPPES public registry.