BRYCE C LACKEY
NPI 1396394144
Nurse Anesthetist, Certified Registered in Lenoir, NC

Active since September 04, 2019Accepts Medicare Assignment
321 MULBERRY ST SW, LENOIR, NC 28645(828) 757-5100 Get Directions Write a Review

NPPES record last updated: April 5, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 5, 2022, Sep 4, 2019 (2 updates tracked since 2019).

About Bryce C Lackey NPPES

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

BRYCE C LACKEY (NPI 1396394144) is an individual nurse anesthetist, certified registered in Lenoir, North Carolina, licensed in North Carolina (6224) and active in the NPI registry since September 2019. He is affiliated with Catawba Valley Medical Center, maintains a secondary practice location in Hickory, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1396394144
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameBRYCE C LACKEY
Location Address321 MULBERRY ST SWLenoir, NC 28645-5720
Mailing Address158 Fess Little RdTaylorsville, NC 28681-6651 · (704) 437-1533
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 4, 2019
Last NPPES UpdateApril 5, 20222 updates tracked since enumeration
NPPES CertifiedApril 5, 2022
✔ NPI 1396394144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in NC · 6224
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
321 MULBERRY ST SW, Lenoir, NC 28645

Secondary Practice Location 1

Location 1810 Fairgrove Church RdHickory, NC 28602-9617 · Phone (828) 326-3000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Bryce C Lackey 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 ID3476985409
PECOS Enrollment IDI20191113002237

Medicare Billing Reassignments

2

Medicare enrollment records show Bryce Lackey reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
321 MULBERRY ST SW
Lenoir, NC 28645
  • Reassigned Medicare billing, North Carolina enrollment
  • 41 clinicians in this Medicare group
General Acute Care Hospital
810 FAIRGROVE CHURCH RD
Hickory, NC 28602
  • Reassigned Medicare billing, North Carolina enrollment
  • 67 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.

Hospital Affiliations CMS Care Compare

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

Catawba Valley Medical Center

Acute Care Hospitals · Hickory, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number340143
Location810 Fairgrove Church RdHickory, NC 28602 · Catawba County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28645 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
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 20

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

Internal Medicine
321 MULBERRY ST SW
LENOIR, NC 28645
Nurse Anesthetist, Certified Registered
321 MULBERRY ST SW
LENOIR, NC 28645
Emergency Medicine
321 MULBERRY ST SW
LENOIR, NC 28645
Internal Medicine
321 MULBERRY ST SW
LENOIR, NC 28645
Pharmacist
321 MULBERRY ST SW
LENOIR, NC 28645
Physician Assistant
321 MULBERRY ST SW
LENOIR, NC 28645
Internal Medicine
321 MULBERRY ST SW
LENOIR, NC 28645
Internal Medicine (Pulmonary Disease)
321 MULBERRY ST SW, CALDWELL ACUTE CARE SPECIALISTS
LENOIR, NC 28645

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 Bryce Lackey's NPI number?

The NPI number for Bryce Lackey is 1396394144. It was assigned to this individual provider in the NPPES registry on September 4, 2019.

Where is Bryce Lackey located?

Bryce Lackey practices at 321 Mulberry St SW, Lenoir, NC 28645. The listed phone number is (828) 757-5100.

What is Bryce Lackey's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Bryce Lackey enrolled in Medicare?

Yes. Bryce Lackey 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.

Which organizations bill Medicare for Bryce Lackey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bryce Lackey reassigns Medicare benefits to 2 organizations: Caldwell Memorial Hospital, Inc. (Lenoir, NC) and Catawba Valley Medical Center (Hickory, NC). 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 Bryce Lackey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Bryce Lackey affiliated with any hospitals?

According to CMS data, Bryce Lackey is affiliated with Catawba Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Bryce Lackey was last updated on April 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.