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LACI C CAUDELL NP-C
NPI 1316519663
Nurse Practitioner - Family in Bloomington, IN

Active since July 15, 2021PECOS EnrolledAccepts Medicare Assignment
3211 W REDDY WAY, BLOOMINGTON, IN 47403(812) 825-0777(812) 825-3917 Get Directions Write a Review

NPPES record last updated: June 16, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Laci C Caudell Np-c NPPES

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

LACI C CAUDELL NP-C (NPI 1316519663) is an individual family provider in Bloomington, Indiana, licensed in Indiana (71011324A) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS, is affiliated with Monroe Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1316519663
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLACI C CAUDELLCredential: NP-C
Location Address3211 W REDDY WAYBloomington, IN 47403-4066
Mailing Address3211 W Reddy WayBloomington, IN 47403-4066 · (812) 825-0777 · Fax (812) 825-3917
Phone(812) 825-0777
Fax(812) 825-3917
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 15, 2021
Last NPPES UpdateJune 16, 2026
NPPES CertifiedJune 16, 2026
✔ NPI 1316519663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IN · 71011324A
3211 W REDDY WAY, Bloomington, IN 47403
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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 and accepts Medicare assignment

Laci C Caudell Np-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 ID345734711
PECOS Enrollment IDI20251212001003
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

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

Monroe Hospital

Acute Care Hospitals · Bloomington, IN
OwnershipProprietary
CMS Certification Number150183
Location4011 S Monroe Medical Park BlvdBloomington, IN 47403 · Monroe County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47403 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
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 5

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

BROOK WHITAKER FNP-C
Nurse Practitioner (Family)
3211 W REDDY WAY
BLOOMINGTON, IN 47403
Monroe County (812) 825-0777
MICHAEL E PORVAZNIK MD
Family Medicine
3211 W REDDY WAY
BLOOMINGTON, IN 47403
Monroe County (812) 825-0777
KATHRYN GRAMLICH NP
Nurse Practitioner (Family)
3211 W REDDY WAY
BLOOMINGTON, IN 47403
Monroe County (812) 825-0777
COURTNEY MITCHELL NP-C
Nurse Practitioner (Family)
3211 W REDDY WAY
BLOOMINGTON, IN 47403
Monroe County (812) 825-0777
CHARITY J HOLTSCLAW
Nurse Practitioner (Family)
3211 W REDDY WAY
BLOOMINGTON, IN 47403
Monroe County (812) 825-0777

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 Laci Caudell's NPI number?

The NPI number for Laci Caudell is 1316519663. It was assigned to this individual provider in the NPPES registry on July 15, 2021.

Where is Laci Caudell located?

Laci Caudell practices at 3211 W Reddy Way, Bloomington, IN 47403. The listed phone number is (812) 825-0777.

What is Laci Caudell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Laci Caudell enrolled in Medicare?

Yes. Laci Caudell 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.

Is Laci Caudell affiliated with any hospitals?

According to CMS data, Laci Caudell is affiliated with Monroe Hospital.

When was this NPI record last updated?

The NPPES record for Laci Caudell was last updated on June 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 50 days 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.