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LACIE MANCIA
NPI 1588532899
Nurse Practitioner - Psychiatric/Mental Health in Bentonville, AR

Active since October 28, 2025PECOS Enrolled
1400 SW SUSANA ST STE 12, BENTONVILLE, AR 72713(479) 203-7100 Get Directions Write a Review

NPPES record last updated: October 28, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lacie Mancia NPPES

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

LACIE MANCIA (NPI 1588532899) is an individual psychiatric/mental health provider in Bentonville, Arkansas, licensed in Arkansas (214637) and active in the NPI registry since October 2025. The provider is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1588532899
Entity TypeIndividual
Primary Taxonomy363LP0808X
Provider Legal NameLACIE MANCIA
Location Address1400 SW SUSANA ST STE 12Bentonville, AR 72713-7877
Mailing Address1400 Sw Susana St Ste 12Bentonville, AR 72713-7877
Phone(479) 203-7100
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateOctober 28, 2025
NPPES CertifiedOctober 28, 2025
✔ NPI 1588532899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in AR · 214637
1400 SW SUSANA ST STE 12, Bentonville, AR 72713
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan 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)

Lacie Mancia is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4385121250
PECOS Enrollment IDI20260122000846
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 Lacie Mancia reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pt Concepts, PLLC
5.7 mi
Mental Health
1200 W WALNUT ST STE 3101
Rogers, AR 72756
  • Reassigned Medicare billing, Arkansas enrollment
  • 41 clinicians in this Medicare group
NPI 1164931291 (479) 621-0301

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 72713 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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 5

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

RAFAEL T VALENTIN JR. LAC (LICENSED COUNSE
Counselor (Mental Health)
1400 SW SUSANA ST STE 12
BENTONVILLE, AR 72713
Benton County (479) 599-9617
FAITH KRAMER
Counselor (Professional)
1400 SW SUSANA ST STE 12
BENTONVILLE, AR 72713
Benton County (479) 203-7100
MRS. CHARIS D. PARKER LPC
Counselor (Mental Health)
1400 SW SUSANA ST STE 12
BENTONVILLE, AR 72713
Benton County (479) 203-7100
KIRSTIE BAILEY LPC
Counselor (Professional)
1400 SW SUSANA ST STE 12
BENTONVILLE, AR 72713
Benton County (479) 203-7100
SARA ELIZABETH BOJIE LPC, PMH-C
Counselor (Mental Health)
1400 SW SUSANA ST STE 12
BENTONVILLE, AR 72713
Benton County (479) 402-1642

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 Lacie Mancia's NPI number?

The NPI number for Lacie Mancia is 1588532899. It was assigned to this individual provider in the NPPES registry on October 28, 2025.

Where is Lacie Mancia located?

Lacie Mancia practices at 1400 SW Susana St Ste 12, Bentonville, AR 72713. The listed phone number is (479) 203-7100.

What is Lacie Mancia's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Lacie Mancia enrolled in Medicare?

Yes. Lacie Mancia is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lacie Mancia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lacie Mancia reassigns Medicare benefits to Pt Concepts, PLLC (Rogers, AR). 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 Lacie Mancia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lacie Mancia accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Lacie Mancia 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 Lacie Mancia was last updated on October 28, 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.