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JACLYN ELIZABETH LACKEY FNP-BC
NPI 1497058168
Nurse Practitioner - Family in Oakhurst, NJ

Active since December 17, 2010PECOS Enrolled
1910 HWY 35, OAKHURST, NJ 07755(732) 531-4747 Get Directions Write a Review

NPPES record last updated: March 5, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 5, 2020, Nov 12, 2015 (2 updates tracked since 2015).

About Jaclyn Elizabeth Lackey Fnp-bc NPPES

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

JACLYN ELIZABETH LACKEY FNP-BC (NPI 1497058168) is an individual family provider in Oakhurst, New Jersey, licensed in New Jersey (26NJ00313100) and active in the NPI registry since December 2010. She is enrolled in Medicare PECOS and maintains a secondary practice location in Long Branch.

NPPES Registry Identity

NPI1497058168
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJACLYN ELIZABETH LACKEYCredential: FNP-BC
Location Address1910 HWY 35Oakhurst, NJ 07755-2715
Mailing Address1910 Hwy 35Oakhurst, NJ 07755-2715 · (732) 531-4747
Phone(732) 531-4747
Sole ProprietorNo
Enumeration DateDecember 17, 2010
Last NPPES UpdateMarch 5, 20202 updates tracked since enumeration
NPPES CertifiedMarch 5, 2020
✔ NPI 1497058168 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 NJ · 26NJ00313100
1910 HWY 35, Oakhurst, NJ 07755
Open in Google Maps ↗

Secondary Practice Location 1

Location 1300 2nd Ave, Suite W217Long Branch, NJ 07740-6303 · Phone (732) 923-6696 · Fax (732) 923-6626

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jaclyn Elizabeth Lackey Fnp-bc 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 Jaclyn Lackey reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Spiras Health, Inc.
753 mi
Family
100 WINNERS CIR N STE 100
Brentwood, TN 37027
  • Reassigned Medicare billing, Florida, Indiana, Kansas, Kentucky, Maryland, Michigan, New Jersey and Tennessee enrollments
  • 3 clinicians in this Medicare group
NPI 1740885565 (855) 638-9596

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 07755 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

EMMANUEL BARIAS MD
Family Medicine
1910 HWY 35
OAKHURST, NJ 07755
Monmouth County (732) 531-4747

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 Jaclyn Lackey's NPI number?

The NPI number for Jaclyn Lackey is 1497058168. It was assigned to this individual provider in the NPPES registry on December 17, 2010.

Where is Jaclyn Lackey located?

Jaclyn Lackey practices at 1910 Hwy 35, Oakhurst, NJ 07755. The listed phone number is (732) 531-4747.

What is Jaclyn Lackey's specialty?

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

Is Jaclyn Lackey enrolled in Medicare?

Yes. Jaclyn Lackey is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jaclyn Lackey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jaclyn Lackey reassigns Medicare benefits to Spiras Health, Inc. (Brentwood, TN). 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 Jaclyn Lackey'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 Jaclyn Lackey was last updated on March 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.