LACI MARIE CHILDERS NP
NPI 1154916880
Nurse Practitioner - Family in Dallas, TX

Active since March 04, 2021PECOS EnrolledAccepts Medicare Assignment
1411 N BECKLEY AVE, PAVILION III SUITE 152, DALLAS, TX 75203(972) 947-8181 Get Directions Write a Review

NPPES record last updated: September 27, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 27, 2021, Sep 24, 2021, Sep 13, 2021 and 2 more (5 updates tracked since 2021).

About Laci Marie Childers Np NPPES

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

LACI MARIE CHILDERS NP (NPI 1154916880) is an individual family provider in Dallas, Texas, licensed in Texas (1047844) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, is affiliated with Methodist Mansfield Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1154916880
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLACI MARIE CHILDERSCredential: NP
Location Address1411 N BECKLEY AVE, PAVILION III SUITE 152Dallas, TX 75203-1586
Mailing Address1411 N. Beckley Ave, Attn DmpnDallas, TX 75203-1586 · (214) 947-4498
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 4, 2021
Last NPPES UpdateSeptember 27, 20215 updates tracked since enumeration
NPPES CertifiedSeptember 27, 2021
NPI 1154916880 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 TX · 1047844
Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License 1047844 (TX)
1411 N BECKLEY AVE, Dallas, TX 75203

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

Laci Marie Childers Np 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 ID2567869670
PECOS Enrollment IDI20210916000307
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 5

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.

Fusion of additional segment of spine 22614
Fusion of an additional segment of the spine is a surgical procedure to join two or more vertebrae together. This is done to stabilize the spine and reduce pain or correct a deformity. The procedure involves using bone grafts, rods, or screws to secure the spine.
66 services17 patients
Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment 63048
This procedure involves the partial removal of a bone in your spine to alleviate pressure on your spinal cord or nerves. It may be performed on multiple spine segments depending on your condition. The aim is to improve mobility and reduce pain or discomfort.
47 services17 patients
Fusion of spine in lower back 22612
Fusion of the spine in the lower back, also known as lumbar spinal fusion, is a surgery aimed to join, or fuse, two or more vertebrae in your lower back. This procedure can help alleviate pain and improve stability by reducing movement between the vertebrae.
25 services24 patients
Placement of stabilizing device to back, 3-6 spine bone segments 22842
This procedure involves placing a device on your back to stabilize 3-6 spine bone segments. It aids in maintaining spine alignment and reducing pain. The device is secured to the bones, providing support and promoting healing.
14 services14 patients
Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment 63047
This procedure involves removing part of a spine bone to alleviate pressure on the lower spinal cord and/or nerves. It targets a single segment of the spine, improving mobility and reducing pain. It's a common treatment for conditions like herniated discs or spinal stenosis.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Methodist Mansfield Medical Center

Acute Care Hospitals · Mansfield, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670023
Location2700 E Broad StreetMansfield, TX 76063 · Tarrant County
Emergency services Birthing friendly

Methodist Midlothian Medical Center

Acute Care Hospitals · Midlothian, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670300
Location1201 E Highway 287Midlothian, TX 76065 · Ellis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75203 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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.

Pharmacist (Ambulatory Care)
1411 N BECKLEY AVE
DALLAS, TX 75203
Transplant Surgery
1411 N BECKLEY AVE, PAV III STE#268
DALLAS, TX 75203
Dermatology (MOHS-Micrographic Surgery)
1411 N BECKLEY AVE, PAVILION III, SUITE 470
DALLAS, TX 75203
Internal Medicine
1411 N BECKLEY AVE, PAVILION III, STE. 352
DALLAS, TX 75203
Nurse Practitioner (Family)
1411 N BECKLEY AVE, STE 152
DALLAS, TX 75203
Nurse Practitioner (Family)
1411 N BECKLEY AVE, PAV III STE#152
DALLAS, TX 75203
Durable Medical Equipment & Medical Supplies
1411 N BECKLEY AVE, PAV III STE#152
DALLAS, TX 75203
Anesthesiology (Pain Medicine)
1411 N BECKLEY AVE, PAV. III, SUITE 152
DALLAS, TX 75203

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 Laci Childers's NPI number?

The NPI number for Laci Childers is 1154916880. It was assigned to this individual provider in the NPPES registry on March 4, 2021.

Where is Laci Childers located?

Laci Childers practices at 1411 N Beckley Ave Pavilion III Suite 152, Dallas, TX 75203. The listed phone number is (972) 947-8181.

What is Laci Childers's specialty?

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

Is Laci Childers enrolled in Medicare?

Yes. Laci Childers 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 Laci Childers accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list Laci Childers 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 Laci Childers affiliated with any hospitals?

According to CMS data, Laci Childers is affiliated with Methodist Mansfield Medical Center and Methodist Midlothian Medical Center.

When was this NPI record last updated?

The NPPES record for Laci Childers was last updated on September 27, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.