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JORDYN TAYLOR LACY PA-C
NPI 1194578419
Physician Assistant in Dallas, TX

Active since April 08, 2024PECOS EnrolledAccepts Medicare Assignment
3600 GASTON AVE STE 500, DALLAS, TX 75246(505) 235-3368 Get Directions Write a Review

NPPES record last updated: April 16, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 16, 2026, Mar 25, 2026, Apr 8, 2024 (3 updates tracked since 2024).

About Jordyn Taylor Lacy Pa-c NPPES

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

JORDYN TAYLOR LACY PA-C (NPI 1194578419) is an individual physician assistant in Dallas, Texas, licensed in Texas (PA18088) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS, is affiliated with Baylor University Medical Center, and maintains a secondary practice location in Lakeway.

NPPES Registry Identity

NPI1194578419
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJORDYN TAYLOR LACYCredential: PA-C
Location Address3600 GASTON AVE STE 500Dallas, TX 75246-1800
Mailing AddressPo Box 844658Dallas, TX 75284-4658 · (800) 994-0371 · Fax (254) 215-9722
Phone(505) 235-3368
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateApril 8, 2024
Last NPPES UpdateApril 16, 20263 updates tracked since enumeration
NPPES CertifiedApril 16, 2026
✔ NPI 1194578419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TX · PA18088
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3600 GASTON AVE STE 500, Dallas, TX 75246
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Secondary Practice Location 1

Location 1100 Medical PkwyLakeway, TX 78738-5621 · Phone (512) 571-5000 · Fax (512) 571-5198

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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

Jordyn Taylor Lacy 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 ID840725529
PECOS Enrollment IDI20241119002459
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.

Hospital Affiliations CMS Care Compare 2

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

Baylor University Medical Center

Acute Care Hospitals · Dallas, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450021
Location3500 Gaston AveDallas, TX 75246 · Dallas County
Emergency services Birthing friendly

Baylor Scott & White Medical Center - Round Rock

Acute Care Hospitals · Round Rock, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670034
Location300 University BlvdRound Rock, TX 78664 · Williamson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75246 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
$71.28 typical visit price
range $18.48 – $141.20
Typical copayment $17.82 (range $4.62 – $35.30)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Jordyn Lacy's NPI number?

The NPI number for Jordyn Lacy is 1194578419. It was assigned to this individual provider in the NPPES registry on April 8, 2024.

Where is Jordyn Lacy located?

Jordyn Lacy practices at 3600 Gaston Ave Ste 500, Dallas, TX 75246. The listed phone number is (505) 235-3368.

What is Jordyn Lacy's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jordyn Lacy enrolled in Medicare?

Yes. Jordyn Lacy 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 Jordyn Lacy accept?

Health plans from Blue Cross and Blue Shield of Texas list Jordyn Lacy 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 Jordyn Lacy affiliated with any hospitals?

According to CMS data, Jordyn Lacy is affiliated with Baylor University Medical Center and Baylor Scott & White Medical Center - Round Rock.

When was this NPI record last updated?

The NPPES record for Jordyn Lacy was last updated on April 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.