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MS. DANIELLE ALISON LACKEY
NPI 1174403356
Nurse Practitioner - Psychiatric/Mental Health in Louisville, KY

Active since September 06, 2025PECOS Enrolled
1448 S 15TH ST, LOUISVILLE, KY 40210(502) 290-3050 Get Directions Write a Review

NPPES record last updated: January 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 20, 2026, Sep 6, 2025 (2 updates tracked since 2025).

About Ms. Danielle Alison Lackey NPPES

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

MS. DANIELLE ALISON LACKEY (NPI 1174403356) is an individual psychiatric/mental health provider in Louisville, Kentucky, licensed in Kentucky (4046181) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1174403356
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMS. DANIELLE ALISON LACKEY
Location Address1448 S 15TH STLouisville, KY 40210-1838
Mailing Address3333 Bardstown RdLouisville, KY 40218-4613 · (502) 290-3050 · Fax (502) 290-4073
Phone(502) 290-3050
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 6, 2025
Last NPPES UpdateJanuary 20, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2026
✔ NPI 1174403356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in KY · 4046181
1448 S 15TH ST, Louisville, KY 40210
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Danielle Alison Lackey is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5597231704
PECOS Enrollment IDI20260415002655
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 40210 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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

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

HAVEHOPE WELLNESS
Nurse Practitioner (Family)
1448 S 15TH ST
LOUISVILLE, KY 40210
Jefferson County (502) 290-3050

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 Danielle Lackey's NPI number?

The NPI number for Danielle Lackey is 1174403356. It was assigned to this individual provider in the NPPES registry on September 6, 2025.

Where is Danielle Lackey located?

Danielle Lackey practices at 1448 S 15th St, Louisville, KY 40210. The listed phone number is (502) 290-3050.

What is Danielle Lackey's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Danielle Lackey enrolled in Medicare?

Yes. Danielle Lackey is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Danielle Lackey was last updated on January 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.