ANNABEL LACKEY AGNP
NPI 1275186892
Nurse Practitioner - Gerontology in Indianapolis, IN
About Annabel Lackey Agnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANNABEL LACKEY AGNP (NPI 1275186892) is an individual gerontology provider in Indianapolis, Indiana, licensed in Indiana (71009680A) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Annabel Lackey Agnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Annabel Lackey reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Elwood, IN 46036
- Reassigned Medicare billing, Indiana enrollment
- 24 clinicians in this Medicare group
Alexandria, IN 46001
- Reassigned Medicare billing, Indiana enrollment
- 113 clinicians in this Medicare group
Gary, IN 46404
- Reassigned Medicare billing, Indiana enrollment
- 85 clinicians in this Medicare group
Lanham, MD 20706
- Reassigned Medicare billing, Indiana enrollment
- 86 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 6
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46203 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
INDIANAPOLIS, IN 46203
INDIANAPOLIS, IN 46203
INDIANAPOLIS, IN 46203
INDIANAPOLIS, IN 46203
INDIANAPOLIS, IN 46203
INDIANAPOLIS, IN 46203
INDIANAPOLIS, IN 46203
INDIANAPOLIS, IN 46203
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 Annabel Lackey's NPI number?
The NPI number for Annabel Lackey is 1275186892. It was assigned to this individual provider in the NPPES registry on July 23, 2019.
Where is Annabel Lackey located?
Annabel Lackey practices at 3834 S Emerson Ave, Indianapolis, IN 46203. The listed phone number is (317) 781-2009.
What is Annabel Lackey's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.
Is Annabel Lackey enrolled in Medicare?
Yes. Annabel Lackey is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Annabel Lackey's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Annabel Lackey reassigns Medicare benefits to 4 organizations: Advanced Healthcare Associates LLP (Elwood, IN), Cleanslate Medical Group Of Indiana LLC (Alexandria, IN), Altea Medical Indiana PC (Gary, IN) and Post Acute Medical PLLC (Lanham, MD). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Annabel Lackey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Annabel Lackey accept?
Health plans from CareSource and Cigna Healthcare list Annabel Lackey 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 Annabel Lackey was last updated on September 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Annabel Lackey, AGNP · NPI 1275186892
Gerontology physician in Indianapolis, Indiana. Individual provider, active in the CMS NPPES registry since July 23, 2019.
## Identity
- **NPI:** 1275186892 (Entity type: Individual)
- **Enumerated:** July 23, 2019
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **State license:** 71009680A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 3834 S EMERSON AVE, Indianapolis, IN 46203-5901
- **Phone:** (317) 781-2009
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Advanced Healthcare Associates LLP (NPI 1841225091, Elwood, IN); Cleanslate Medical Group Of Indiana LLC (NPI 1023464294, Alexandria, IN); Altea Medical Indiana PC (NPI 1992584783, Gary, IN); Post Acute Medical PLLC (NPI 1730713025, Lanham, MD) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 6, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1275186892) · Data from the CMS NPPES public registry.