LACY JAY NASSEH FNP
NPI 1255054631
Nurse Practitioner - Family in Walnut Creek, CA
About Lacy Jay Nasseh Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LACY JAY NASSEH FNP (NPI 1255054631) is an individual family provider in Walnut Creek, California, licensed in California (95120763) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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
Lacy Jay Nasseh Fnp 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94598 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Nasseh's NPI number?
The NPI number for Lacy Nasseh is 1255054631. It was assigned to this individual provider in the NPPES registry on September 21, 2022. The provider is also known as Lacy Jay Martin.
Where is Lacy Nasseh located?
Lacy Nasseh practices at 2255 Ygnacio Valley Rd Ste T35, Walnut Creek, CA 94598. The listed phone number is (925) 681-9246.
What is Lacy Nasseh's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Lacy Nasseh enrolled in Medicare?
Yes. Lacy Nasseh 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.
When was this NPI record last updated?
The NPPES record for Lacy Nasseh was last updated on March 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Lacy Jay Nasseh, FNP · NPI 1255054631
Family physician in Walnut Creek, California. Individual provider, active in the CMS NPPES registry since September 21, 2022.
## Identity
- **NPI:** 1255054631 (Entity type: Individual)
- **Enumerated:** September 21, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95120763 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 2255 YGNACIO VALLEY RD STE T35, Walnut Creek, CA 94598-3343
- **Phone:** (925) 681-9246
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** March 3, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1255054631) · Data from the CMS NPPES public registry.