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ANDREA LYNNE LACKI PA-C
NPI 1215057799
Physician Assistant - Surgical in Altoona, PA

Active since March 30, 2007PECOS Enrolled
3000 FAIRWAY DR, ALTOONA, PA 16602(814) 962-1166 Get Directions Write a Review

NPPES record last updated: May 6, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Andrea Lynne Lacki Pa-c NPPES

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

ANDREA LYNNE LACKI PA-C (NPI 1215057799) is an individual surgical provider in Altoona, Pennsylvania, licensed in Pennsylvania (MA053507) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215057799
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameANDREA LYNNE LACKICredential: PA-C
Location Address3000 FAIRWAY DRAltoona, PA 16602-4472
Mailing Address614 N Terrace DrAltoona, PA 16602-2965 · (814) 441-4861
Phone(814) 962-1166
Sole ProprietorNo
Enumeration DateMarch 30, 2007
Last NPPES UpdateMay 6, 2010
✔ NPI 1215057799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Licenses✔ Licensed in PA · MA053507✔ Licensed in MD · C0003589
Also ListedPhysician AssistantTaxonomy 363A00000X · License 0110002349 (VA)
3000 FAIRWAY DR, Altoona, PA 16602
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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)

Andrea Lynne Lacki Pa-c 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.

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.

FRED K KHALOUF DO
Pain Medicine (Interventional Pain Medicine)
3000 FAIRWAY DR
ALTOONA, PA 16602
Blair County (814) 942-1166
ADAM M BUDNY DPM
Podiatrist (Foot & Ankle Surgery)
3000 FAIRWAY DR
ALTOONA, PA 16602
Blair County (814) 942-1166
JOSHUA PORT MD
Orthopaedic Surgery
3000 FAIRWAY DR
ALTOONA, PA 16602
Blair County (814) 942-1166
ANGELA W ROWE DO
Orthopaedic Surgery
3000 FAIRWAY DR
ALTOONA, PA 16602
Blair County (814) 942-1166
MEGHAN TRACY DPT
Physical Therapist
3000 FAIRWAY DR
ALTOONA, PA 16602
Blair County (814) 231-2101
ROBERT J SINGER DO
Orthopaedic Surgery
3000 FAIRWAY DR
ALTOONA, PA 16602
Blair County (814) 942-1166
MIKAYLA ANNE MIGNOGNA
Student in an Organized Health Care Education/Training Program
3000 FAIRWAY DR
ALTOONA, PA 16602
Blair County (814) 231-2101
WILLIAM ANDREW TYNDALL M.D.
Orthopaedic Surgery
3000 FAIRWAY DR
ALTOONA, PA 16602
Blair County (814) 942-1166

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 Andrea Lacki's NPI number?

The NPI number for Andrea Lacki is 1215057799. It was assigned to this individual provider in the NPPES registry on March 30, 2007.

Where is Andrea Lacki located?

Andrea Lacki practices at 3000 Fairway Dr, Altoona, PA 16602. The listed phone number is (814) 962-1166.

What is Andrea Lacki's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Andrea Lacki enrolled in Medicare?

Yes. Andrea Lacki is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Andrea Lacki was last updated on May 6, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.