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DR. LACI DESIRAE WANER MD
NPI 1487975827
Family Medicine in Clifton, TX

Active since June 21, 2010PECOS Enrolled
2710 OAK RDG, CLIFTON, TX 76634(254) 978-5224(502) 385-6556 Get Directions Write a Review

NPPES record last updated: November 20, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 20, 2025, Nov 7, 2025, Feb 27, 2025 and 2 more (5 updates tracked since 2017).

About Dr. Laci Desirae Waner Md NPPES

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

DR. LACI DESIRAE WANER MD (NPI 1487975827) is an individual family medicine provider in Clifton, Texas, licensed in Texas (R1902) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS and maintains 7 additional practice locations.

NPPES Registry Identity

NPI1487975827
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. LACI DESIRAE WANERCredential: MD
Location Address2710 OAK RDGClifton, TX 76634-1162
Mailing Address2710 Oak RdgClifton, TX 76634-1162 · (979) 575-7936 · Fax (502) 385-6556
Phone(254) 978-5224
Fax(502) 385-6556
Sole ProprietorYes
Enumeration DateJune 21, 2010
Last NPPES UpdateNovember 20, 20255 updates tracked since enumeration
NPPES CertifiedNovember 20, 2025
✔ NPI 1487975827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in TX · R1902✔ Licensed in VA · 0101272445✔ Licensed in CT · 72317✔ Licensed in FL · ME143348✔ Licensed in NC · 2021-01835✔ Licensed in MO · 2021036991✔ Licensed in OK · 29766
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2710 OAK RDG, Clifton, TX 76634
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Other Names 1

Former Name (1)Laci Desirae Stephenson

Secondary Practice Locations 7

Location 11400 N Coit Rd Ste 302McKinney, TX 75071-6656 · Phone (888) 803-3370 · Fax (888) 803-3331
Location 22800 Eisenhower Ave Ste 220Alexandria, VA 22314-4587 · Phone (888) 803-3370 · Fax (888) 803-3331
Location 3100 NE 5th StOklahoma City, OK 73104-2228 · Phone (888) 803-3370 · Fax (888) 803-3331
Location 4525 N Tryon St Ste 1600Charlotte, NC 28202-0213 · Phone (888) 803-3370 · Fax (888) 803-3331
Location 55373 W ALABAMA ST STE 204Houston, TX 77056-5923 · Phone (888) 803-3370 · Fax (888) 803-3331
Location 6333 1ST ST STE ASAN FRANCISCO, CA 94105-2661 · Phone (888) 803-3370 · Fax (888) 803-3331
Location 771 Raymond Rd Ste 122West Hartford, CT 06107-2211 · Phone (888) 803-3370 · Fax (888) 803-3331

Other Identifiers 2

Medicaid369616303TX
Medicaid369616301TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Cigna Healthcare 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)

Dr. Laci Desirae Waner Md 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 Reassignments

2

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

Cmdpn Medical Group Of Texas, P.A.
85 mi
Family Medicine
3838 OAK LAWN AVE, SUITE 1000, PMB 1123
Dallas, TX 75219
  • Reassigned Medicare billing, Texas enrollment
  • 55 clinicians in this Medicare group
NPI 1174082150 (720) 996-0522
Circle Medical Care Group PA
945 mi
Family Medicine
400 N TAMPA ST FL 15
Tampa, FL 33602
  • Reassigned Medicare billing, Texas enrollment
  • 80 clinicians in this Medicare group
NPI 1972358760 (888) 803-3370

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 76634 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.

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 Laci Waner's NPI number?

The NPI number for Laci Waner is 1487975827. It was assigned to this individual provider in the NPPES registry on June 21, 2010. The provider is also known as Laci Desirae Stephenson.

Where is Laci Waner located?

Laci Waner practices at 2710 Oak Rdg, Clifton, TX 76634. The listed phone number is (254) 978-5224.

What is Laci Waner's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Laci Waner enrolled in Medicare?

Yes. Laci Waner is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Laci Waner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Laci Waner reassigns Medicare benefits to 2 organizations: Cmdpn Medical Group Of Texas, P.A. (Dallas, TX) and Circle Medical Care Group PA (Tampa, FL). 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 Laci Waner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Laci Waner accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Cigna Healthcare and Oscar Insurance Company list Laci Waner 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 Laci Waner was last updated on November 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.