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LACY MARIE CRUM
NPI 1174127781
Physician Assistant - Medical in Mt Sterling, KY

Active since November 24, 2020PECOS Enrolled
227 FALCON DR # 104, MT STERLING, KY 40353(859) 497-5160(859) 497-5166 Get Directions Write a Review

NPPES record last updated: June 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 15, 2021, Sep 17, 2021, Aug 16, 2021 and 1 more (4 updates tracked since 2020).

About Lacy Marie Crum NPPES

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

LACY MARIE CRUM (NPI 1174127781) is an individual medical provider in Mt Sterling, Kentucky, licensed in Kentucky (PA2799) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174127781
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameLACY MARIE CRUM
Location Address227 FALCON DR # 104Mt Sterling, KY 40353-9792
Mailing AddressPo Box 936London, KY 40743-0936 · (859) 497-5160
Phone(859) 497-5160
Fax(859) 497-5166
Sole ProprietorYes
Enumeration DateNovember 24, 2020
Last NPPES UpdateJune 21, 20224 updates tracked since enumeration
NPPES CertifiedJune 21, 2022
✔ NPI 1174127781 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
License✔ Licensed in KY · PA2799
227 FALCON DR # 104, Mt Sterling, KY 40353
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Other Names 1

Professional Name (2)Lacy Marie Crum Pa-c

Other Identifiers 1

Medicaid7100771230KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lacy Marie Crum is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Lacy Crum's NPI number?

The NPI number for Lacy Crum is 1174127781. It was assigned to this individual provider in the NPPES registry on November 24, 2020. The provider is also known as Lacy Marie Crum Pa-C.

Where is Lacy Crum located?

Lacy Crum practices at 227 Falcon Dr # 104, Mt Sterling, KY 40353. The listed phone number is (859) 497-5160.

What is Lacy Crum's specialty?

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

Is Lacy Crum enrolled in Medicare?

Yes. Lacy Crum is registered in the Medicare PECOS enrollment system.

What insurance does Lacy Crum accept?

Health plans from CareSource list Lacy Crum 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 Lacy Crum was last updated on June 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.