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LACY KENNEDY EATON PA
NPI 1245514785
Physician Assistant in Longview, TX

Active since October 03, 2011PECOS Enrolled
3564 N FOURTH ST STE A, LONGVIEW, TX 75605(903) 230-3311(903) 230-3312 Get Directions Write a Review

NPPES record last updated: November 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lacy Kennedy Eaton Pa NPPES

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

LACY KENNEDY EATON PA (NPI 1245514785) is an individual physician assistant in Longview, Texas, licensed in Texas (PA07377) and active in the NPI registry since October 2011. She is enrolled in Medicare PECOS and maintains a secondary practice location in Longview.

NPPES Registry Identity

NPI1245514785
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLACY KENNEDY EATONCredential: PA
Location Address3564 N FOURTH ST STE ALongview, TX 75605-0039
Mailing Address3564 N Fourth St Ste ALongview, TX 75605-0039 · (903) 230-3311 · Fax (903) 230-3312
Phone(903) 230-3311
Fax(903) 230-3312
Sole ProprietorNo
Enumeration DateOctober 3, 2011
Last NPPES UpdateNovember 17, 2025
NPPES CertifiedNovember 17, 2025
✔ NPI 1245514785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TX · PA07377
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.
Also ListedPediatricsTaxonomy 208000000X · License PA07377 (TX)
3564 N FOURTH ST STE A, Longview, TX 75605
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Secondary Practice Location 1

Location 13564 N Fourth St Ste BLongview, TX 75605-0039 · Phone (903) 231-3144 · Fax (903) 231-3230

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, UnitedHealthcare.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 Kennedy Eaton Pa 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75605 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

Other Providers at the Same Location NPPES 3

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

STEPHANIE ANN PORTER M.D.
Pediatrics
3564 N FOURTH ST STE A
LONGVIEW, TX 75605
Gregg County (903) 230-3311
HALEY E BOWMAN
Nurse Practitioner (Family)
3564 N FOURTH ST STE A
LONGVIEW, TX 75605
Gregg County (903) 230-3311
CYNTHIA CONNIE SOMERS M.D.
Pediatrics
3564 N FOURTH ST STE A
LONGVIEW, TX 75605
Gregg County (903) 230-3311

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 Eaton's NPI number?

The NPI number for Lacy Eaton is 1245514785. It was assigned to this individual provider in the NPPES registry on October 3, 2011.

Where is Lacy Eaton located?

Lacy Eaton practices at 3564 N Fourth St Ste A, Longview, TX 75605. The listed phone number is (903) 230-3311.

What is Lacy Eaton's specialty?

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

Is Lacy Eaton enrolled in Medicare?

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

What insurance does Lacy Eaton accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and UnitedHealthcare list Lacy Eaton 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 Eaton was last updated on November 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.