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LACEY CAROLINE GARDNER PA-C
NPI 1679758254
Physician Assistant in Mount Pleasant, MI

Active since January 02, 2008PECOS Enrolled
1970 ASHLAND DR, MOUNT PLEASANT, MI 48858(989) 779-5262(989) 772-6784 Get Directions Write a Review

NPPES record last updated: February 27, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lacey Caroline Gardner Pa-c NPPES

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

LACEY CAROLINE GARDNER PA-C (NPI 1679758254) is an individual physician assistant in Mount Pleasant, Michigan, licensed in Michigan (5601005080) and active in the NPI registry since January 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679758254
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLACEY CAROLINE GARDNERCredential: PA-C
Location Address1970 ASHLAND DRMount Pleasant, MI 48858-1203
Mailing Address1970 Ashland DrMount Pleasant, MI 48858-1203 · (989) 779-5262 · Fax (989) 772-6784
Phone(989) 779-5262
Fax(989) 772-6784
Sole ProprietorNo
Enumeration DateJanuary 2, 2008
Last NPPES UpdateFebruary 27, 2013
✔ NPI 1679758254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MI · 5601005080
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1970 ASHLAND DR, Mount Pleasant, MI 48858
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Other Identifiers 9

Medicare PINZ96017093MI
Other080B610040MI · Bcbs
Medicare PINMI1118002MI
Other010Z960170MI · Blue Cross Blue Shield
Other0Z96017MI · Medicare Ptan
Other0Z96017MI · Medicare Group
OtherMI1118MI · Medicare Group Number
Other0P43930MI · Medicare Group Number
Medicare PINP43930004MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lacey Caroline Gardner Pa-c 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48858 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Anti-Depressant Medication Management
Percentage of patients 18 years of age and older who were treated with antidepressant medication, had a diagnosis of major depression, and who remained on an antidepressant medication treatment.
100%33 patients
Closing the Referral Loop: Receipt of Specialist Report
Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred
69%210 patients3/55-star benchmark: 95%
Depression Utilization of the PHQ-9 Tool
The percentage of patients age 18 and older with the diagnosis of major depression or dysthymia who have a completed PHQ-9 during each applicable 4 month period in which there was a qualifying visit
Patients 4MonthsOfEnd: 5% · 151 patients
Patients 4MonthsOfStart: 9% · 171 patients
11%125 patients
Diabetes: Foot Exam
The percentage of patients 18-75 years of age with diabetes (type 1 and type 2) who received a foot exam (visual inspection and sensory exam with mono filament and a pulse exam) during the measurement year
58%135 patients3/55-star benchmark: 98%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
91%1,984 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
53%157 patients3/55-star benchmark: 99%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
85%157 patients4/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
81%914 patients4/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
45%652 patients3/55-star benchmark: 88%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
80%540 patients4/55-star benchmark: 96%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 43% · 761 patients
Patients tobacco: 90% · 72 patients
40%761 patients2/55-star benchmark: 98%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 4% · 157 patients
6%157 patients3/55-star benchmark: 100%
Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents
Percentage of patients 3-17 years of age who had an outpatient visit with a Primary Care Physician (PCP) or Obstetrician/Gynecologist (OB/GYN) and who had evidence of the following during the measurement period. Three rates are reported.
100%32 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers12 claims52 services$3.74 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

MRS. ALEXIS STEVENS FNP-C
Nurse Practitioner (Primary Care)
1970 ASHLAND DR
MOUNT PLEASANT, MI 48858
Isabella County (989) 772-1500
MYMICHIGAN MEDICAL CENTER ALMA
Obstetrics & Gynecology
1970 ASHLAND DR
MT PLEASANT, MI 48858
Isabella County (989) 772-3009
DR. BHEKUMUSA MSIBI D.O.
Pediatrics
1970 ASHLAND DR
MT PLEASANT, MI 48858
Isabella County (989) 772-1500
JORDAN WENTWORTH APRN, CPNP-PC
Nurse Practitioner (Pediatrics)
1970 ASHLAND DR
MOUNT PLEASANT, MI 48858
Isabella County (989) 772-1500

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 Lacey Gardner's NPI number?

The NPI number for Lacey Gardner is 1679758254. It was assigned to this individual provider in the NPPES registry on January 2, 2008.

Where is Lacey Gardner located?

Lacey Gardner practices at 1970 Ashland Dr, Mount Pleasant, MI 48858. The listed phone number is (989) 779-5262.

What is Lacey Gardner's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Lacey Gardner enrolled in Medicare?

Yes. Lacey Gardner is registered in the Medicare PECOS enrollment system.

What insurance does Lacey Gardner accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Lacey Gardner 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 Lacey Gardner was last updated on February 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.