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

Q: 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.

Q: What is Lacey Mckeowen's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lacey Mckeowen was last updated on February 9, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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: July 26, 2026.

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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

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, Molina Healthcare.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)

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.

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.

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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)