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MS. TINIYA BRANDY LACY NP
NPI 1649002064
Nurse Practitioner in Apple Valley, CA

Active since August 14, 2024PECOS EnrolledAccepts Medicare Assignment
18522 US HIGHWAY 18 STE 102, APPLE VALLEY, CA 92307(760) 242-7707(760) 242-1133 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 7, 2026, Mar 30, 2026, Nov 17, 2024 and 1 more (4 updates tracked since 2024).

About Ms. Tiniya Brandy Lacy Np NPPES

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

MS. TINIYA BRANDY LACY NP (NPI 1649002064) is an individual nurse practitioner in Apple Valley, California, licensed in California (95039016) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1649002064
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMS. TINIYA BRANDY LACYCredential: NP
Location Address18522 US HIGHWAY 18 STE 102Apple Valley, CA 92307-2321
Mailing Address11797 Forest Park LnVictorville, CA 92392-0428 · (760) 662-9940
Phone(760) 242-7707
Fax(760) 242-1133
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 14, 2024
Last NPPES UpdateApril 7, 20264 updates tracked since enumeration
NPPES CertifiedApril 7, 2026
✔ NPI 1649002064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 95039016
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered NurseTaxonomy 163W00000X · License 95046480 (CA)
18522 US HIGHWAY 18 STE 102, Apple Valley, CA 92307
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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 and accepts Medicare assignment

Ms. Tiniya Brandy Lacy Np 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 ID2961970801
PECOS Enrollment IDI20260508000926
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 92307 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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 2

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

MARLINE F JEAN-LOUIS ARNP-BC
Nurse Practitioner (Family)
18522 US HIGHWAY 18 STE 102
APPLE VALLEY, CA 92307
San Bernardino County (760) 427-7702
DR. DAN VASILE D.O
Family Medicine
18522 US HIGHWAY 18 STE 102
APPLE VALLEY, CA 92307
San Bernardino County (760) 242-7707

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 Tiniya Lacy's NPI number?

The NPI number for Tiniya Lacy is 1649002064. It was assigned to this individual provider in the NPPES registry on August 14, 2024.

Where is Tiniya Lacy located?

Tiniya Lacy practices at 18522 Us Highway 18 Ste 102, Apple Valley, CA 92307. The listed phone number is (760) 242-7707.

What is Tiniya Lacy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Tiniya Lacy enrolled in Medicare?

Yes. Tiniya 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.

When was this NPI record last updated?

The NPPES record for Tiniya Lacy was last updated on April 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.