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LACEY MCKEOWEN NP
NPI 1396283404
Nurse Practitioner - Pediatrics in Orangeburg, SC

Active since February 09, 2017PECOS Enrolled
940 HOLLY ST, ORANGEBURG, SC 29115(803) 536-2725(803) 534-3118 Get Directions Write a Review

NPPES record last updated: February 9, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lacey Mckeowen Np NPPES

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

LACEY MCKEOWEN NP (NPI 1396283404) is an individual pediatrics provider in Orangeburg, South Carolina, licensed in South Carolina (20741) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396283404
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameLACEY MCKEOWENCredential: NP
Location Address940 HOLLY STOrangeburg, SC 29115-4930
Mailing Address940 Holly StOrangeburg, SC 29115-4930 · (803) 536-2725 · Fax (803) 534-3118
Phone(803) 536-2725
Fax(803) 534-3118
Sole ProprietorNo
Enumeration DateFebruary 9, 2017
✔ NPI 1396283404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in SC · 20741
940 HOLLY ST, Orangeburg, SC 29115
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lacey Mckeowen Np 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.

Medicare Billing Reassignment

Medicare enrollment records show Lacey Mckeowen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Musc Community Physicians
16 mi
Internal Medicine
506 NORTH ST
Bamberg, SC 29003
  • Reassigned Medicare billing, South Carolina enrollment
  • 2,389 clinicians in this Medicare group
NPI 1841878006 (803) 245-6290

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29115 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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 9

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

SHANNON W EASTERLIN NP
Nurse Practitioner (Pediatrics)
940 HOLLY ST
ORANGEBURG, SC 29115
Orangeburg County (803) 536-2725
JESSICA HEADDEN FNP-C
Nurse Practitioner (Family)
940 HOLLY ST
ORANGEBURG, SC 29115
Orangeburg County (803) 536-2725
LAURA R BLANKENSHIP
Nurse Practitioner (Pediatrics)
940 HOLLY ST
ORANGEBURG, SC 29115
Orangeburg County (803) 536-2725
LAUREN NICHOLE CATES
Nurse Practitioner (Pediatrics)
940 HOLLY ST
ORANGEBURG, SC 29115
Orangeburg County (803) 536-2725
MRS. JANINE LEE BRENTON CPNP
Nurse Practitioner (Pediatrics)
940 HOLLY ST
ORANGEBURG, SC 29115
Orangeburg County (803) 536-2725
ARIEL HART BRIGMAN
Nurse Practitioner (Family)
940 HOLLY ST
ORANGEBURG, SC 29115
Orangeburg County (803) 536-2725
LAUREN CULLER FNP-BC
Nurse Practitioner (Family)
940 HOLLY ST
ORANGEBURG, SC 29115
Orangeburg County (803) 536-2725
CHARLES J KILGORE MD
Pediatrics
940 HOLLY ST
ORANGEBURG, SC 29115
Orangeburg County (803) 536-2725

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 Lacey Mckeowen's NPI number?

The NPI number for Lacey Mckeowen is 1396283404. It was assigned to this individual provider in the NPPES registry on February 9, 2017.

Where is Lacey Mckeowen located?

Lacey Mckeowen practices at 940 Holly St, Orangeburg, SC 29115. The listed phone number is (803) 536-2725.

What is Lacey Mckeowen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Lacey Mckeowen enrolled in Medicare?

Yes. Lacey Mckeowen is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lacey Mckeowen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lacey Mckeowen reassigns Medicare benefits to Musc Community Physicians (Bamberg, SC). The 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 Lacey Mckeowen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lacey Mckeowen accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and Molina Healthcare and 1 other insurer list Lacey Mckeowen 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 Lacey Mckeowen was last updated on February 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.