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HOLLY C LACY FNP-C
NPI 1477023554
Nurse Practitioner - Family in Windcrest, TX

Active since November 30, 2018PECOS Enrolled
5542 WALZEM RD, WINDCREST, TX 78218(210) 922-7000(210) 590-1380 Get Directions Write a Review

NPPES record last updated: May 15, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 15, 2019, Nov 30, 2018 (2 updates tracked since 2018).

About Holly C Lacy Fnp-c NPPES

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

HOLLY C LACY FNP-C (NPI 1477023554) is an individual family provider in Windcrest, Texas, licensed in Texas (AP139830) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477023554
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameHOLLY C LACYCredential: FNP-C
Location Address5542 WALZEM RDWindcrest, TX 78218-2103
Mailing Address3750 Commercial AveSan Antonio, TX 78221-3117 · (210) 922-7000 · Fax (210) 590-1380
Phone(210) 922-7000
Fax(210) 590-1380
Sole ProprietorNo
Enumeration DateNovember 30, 2018
Last NPPES UpdateMay 15, 20192 updates tracked since enumeration
✔ NPI 1477023554 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 TX · AP139830
5542 WALZEM RD, Windcrest, TX 78218
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Holly C Lacy Fnp-c 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 Holly Lacy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Signify Health Medical Associates, PLLC
252 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Texas enrollment
  • 1,246 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800

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 78218 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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 20

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

MANUEL LOPEZ VAZQUEZ M.D.
Internal Medicine
5542 WALZEM RD
WINDCREST, TX 78218
Bexar County (210) 922-7000
HALYA P BURNS
Dental Hygienist
5542 WALZEM RD
SAN ANTONIO, TX 78218
Bexar County (210) 634-2480
SAVANNAH MARIE WILSON FNP
Nurse Practitioner (Family)
5542 WALZEM RD
WINDCREST, TX 78218
Bexar County (210) 922-7000
DR. JESSICA LYNN MOLINA M.D.
Pediatrics
5542 WALZEM RD
WINDCREST, TX 78218
Bexar County (210) 922-7000
JOANNE B. BASSALI
Pediatrics
5542 WALZEM RD
WINDCREST, TX 78218
Bexar County (210) 922-7000
DR. EMILY JETTER PHARMACIST
Pharmacist
5542 WALZEM RD
WINDCREST, TX 78218
Bexar County (210) 637-2420
PRABHJOT RANDEV MBBS
Pediatrics
5542 WALZEM RD
WINDCREST, TX 78218
Bexar County (210) 922-7000
DR. SOHEIR GIRGIS M.D.
Pediatrics
5542 WALZEM RD
WINDCREST, TX 78218
Bexar County (210) 922-7000

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 Holly Lacy's NPI number?

The NPI number for Holly Lacy is 1477023554. It was assigned to this individual provider in the NPPES registry on November 30, 2018.

Where is Holly Lacy located?

Holly Lacy practices at 5542 Walzem Rd, Windcrest, TX 78218. The listed phone number is (210) 922-7000.

What is Holly Lacy's specialty?

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

Is Holly Lacy enrolled in Medicare?

Yes. Holly Lacy is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Holly Lacy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Holly Lacy reassigns Medicare benefits to Signify Health Medical Associates, PLLC (Dallas, TX). 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 Holly Lacy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Holly Lacy was last updated on May 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.