MR. ANTWAN EDWARD LACY FNP-C
NPI 1477059376
Nurse Practitioner - Family in Saint Petersburg, FL

Q: What is Antwan Lacy's NPI number?

The NPI number for Antwan Lacy is 1477059376. It was assigned to this individual provider in the NPPES registry on April 1, 2018.

Q: What is Antwan Lacy's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Antwan Lacy was last updated on July 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since April 01, 2018PECOS EnrolledAccepts Medicare Assignment

7000 4TH ST N STE A, SAINT PETERSBURG, FL 33702(727) 526-3627(727) 525-3492 Get Directions Write a Review

NPPES record last updated: July 27, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mr. Antwan Edward Lacy Fnp-c NPPES

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

MR. ANTWAN EDWARD LACY FNP-C (NPI 1477059376) is an individual family provider in Saint Petersburg, Florida, licensed in Florida (9372952) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Orlando Health Bayfront Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1477059376

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMR. ANTWAN EDWARD LACYCredential: FNP-C

Location Address7000 4TH ST N STE ASaint Petersburg, FL 33702-5903

Mailing Address7000 4th St N Ste ASaint Petersburg, FL 33702-5903 · (727) 526-3627 · Fax (727) 525-3492

Phone(727) 526-3627

Fax(727) 525-3492

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateApril 1, 2018

Last NPPES UpdateJuly 27, 2021

NPPES CertifiedJuly 27, 2021

✔ NPI 1477059376 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 FL · 9372952

7000 4TH ST N STE A, Saint Petersburg, FL 33702

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Oscar Health Maintenance Organization of Florida.Insurance ›

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

Mr. Antwan Edward Lacy Fnp-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 ID5294085924

PECOS Enrollment IDI20180830000823

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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

76 services42 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

27 services21 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

27 services27 patients

Hospital Affiliations CMS Care Compare

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

Orlando Health Bayfront Hospital

Acute Care Hospitals · Saint Petersburg, FL

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100032

Location701 6th St SSaint Petersburg, FL 33701 · Pinellas County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33702 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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

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

ALTAF GULAMHUSAIN ANGA MD

Family Medicine

7000 4TH ST N STE A
ST PETERSBURG, FL 33702

Pinellas County (727) 526-3627

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 Antwan Lacy's NPI number?

The NPI number for Antwan Lacy is 1477059376. It was assigned to this individual provider in the NPPES registry on April 1, 2018.

Where is Antwan Lacy located?

Antwan Lacy practices at 7000 4th St N Ste A, Saint Petersburg, FL 33702. The listed phone number is (727) 526-3627.

What is Antwan Lacy's specialty?

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

Is Antwan Lacy enrolled in Medicare?

Yes. Antwan Lacy 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.

What insurance does Antwan Lacy accept?

Health plans from AvMed and Oscar Health Maintenance Organization of Florida list Antwan Lacy 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.

Is Antwan Lacy affiliated with any hospitals?

According to CMS data, Antwan Lacy is affiliated with Orlando Health Bayfront Hospital.

When was this NPI record last updated?

The NPPES record for Antwan Lacy was last updated on July 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.