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

Q: 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.

Q: 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.

Q: 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.

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 04, 2026.

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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

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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)