LACEY MORGAN KALINEN PA-C
NPI 1164313789
Physician Assistant - Medical in San Luis Obispo, CA

Active since July 11, 2025PECOS EnrolledAccepts Medicare Assignment
15 SANTA ROSA ST, SAN LUIS OBISPO, CA 93405(480) 612-1976 Get Directions Write a Review

NPPES record last updated: August 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 15, 2025, Jul 11, 2025 (2 updates tracked since 2025).

About Lacey Morgan Kalinen Pa-c NPPES

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

LACEY MORGAN KALINEN PA-C (NPI 1164313789) is an individual medical provider in San Luis Obispo, California and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1164313789
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameLACEY MORGAN KALINENCredential: PA-C
Location Address15 SANTA ROSA STSan Luis Obispo, CA 93405-1811
Mailing Address15 Santa Rosa StSan Luis Obispo, CA 93405-1811 · (480) 612-1976
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJuly 11, 2025
Last NPPES UpdateAugust 15, 20252 updates tracked since enumeration
NPPES CertifiedAugust 15, 2025
NPI 1164313789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
15 SANTA ROSA ST, San Luis Obispo, CA 93405

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

Lacey Morgan Kalinen Pa-c 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 ID6103324249
PECOS Enrollment IDI20250808001053
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.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dermatology (Dermatopathology)
15 SANTA ROSA ST
SAN LUIS OBISPO, CA 93405
Dermatology
15 SANTA ROSA ST
SAN LUIS OBISPO, CA 93405
Dermatology (MOHS-Micrographic Surgery)
15 SANTA ROSA ST
SN LUIS OBISP, CA 93405
Dermatology
15 SANTA ROSA ST
SAN LUIS OBISPO, CA 93405
Dermatology
15 SANTA ROSA ST
SAN LUIS OBISPO, CA 93405
Physician Assistant (Medical)
15 SANTA ROSA ST
SAN LUIS OBISPO, CA 93405

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 Lacey Kalinen's NPI number?

The NPI number for Lacey Kalinen is 1164313789. It was assigned to this individual provider in the NPPES registry on July 11, 2025.

Where is Lacey Kalinen located?

Lacey Kalinen practices at 15 Santa Rosa St, San Luis Obispo, CA 93405. The listed phone number is (480) 612-1976.

What is Lacey Kalinen's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Lacey Kalinen enrolled in Medicare?

Yes. Lacey Kalinen 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.

When was this NPI record last updated?

The NPPES record for Lacey Kalinen was last updated on August 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.