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MRS. LACEY DANIELLE KEETH MSN, FNP-C
NPI 1679823090
Nurse Practitioner - Family in Vidalia, LA

Active since September 12, 2012PECOS Enrolled
30.8/100
CMS Quality Rating
1643 CARTER STREET, SUITE #1, VIDALIA, LA 71373(318) 336-8707(318) 336-8876 Get Directions Write a Review

NPPES record last updated: October 5, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Lacey Danielle Keeth Msn, Fnp-c NPPES

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

MRS. LACEY DANIELLE KEETH MSN, FNP-C (NPI 1679823090) is an individual family provider in Vidalia, Louisiana, licensed in Louisiana (AP09734) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679823090
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. LACEY DANIELLE KEETHCredential: MSN, FNP-C
Location Address1643 CARTER STREET, SUITE #1Vidalia, LA 71373
Mailing Address1643 Carter Street, Suite #1Vidalia, LA 71373 · (318) 336-8707 · Fax (318) 336-8876
Phone(318) 336-8707
Fax(318) 336-8876
Sole ProprietorNo
Enumeration DateSeptember 12, 2012
Last NPPES UpdateOctober 5, 2021
NPPES CertifiedOctober 5, 2021
✔ NPI 1679823090 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
Licenses✔ Licensed in LA · AP09734✔ Licensed in MS · R872599
1643 CARTER STREET, Vidalia, LA 71373
Open in Google Maps ↗

Other Identifiers 1

Medicaid2460561LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMO Louisiana.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Lacey Danielle Keeth Msn, Fnp-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.

Medicare Billing Reassignment

Medicare enrollment records show Lacey Keeth reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Concordia Parish Hospital Service District Number One
5.6 mi
Family Medicine
6569 HIGHWAY 84
Ferriday, LA 71334
  • Reassigned Medicare billing, Louisiana enrollment
  • Also billed through NPI 1679513600 (Louisiana)
  • 63 clinicians in this Medicare group
NPI 1952565335 (318) 757-6551

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 71373 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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.

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.

30.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality0
Promoting Interoperability86
Improvement Activities0

Referred Medical Equipment & Supplies CMS DME claims 7

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

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers12 claims12 services$4.58 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier18 claims18 services$118.97 avg. paid by Medicare
Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms J7605
DME-Drugs Administered Through DME · category DG006N
1 supplier16 claims960 services$4.54 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
2 suppliers17 claims1,251 services$0.03 avg. paid by Medicare
Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626
DME-Drugs Administered Through DME · category DG000N
1 supplier15 claims900 services$0.82 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers19 claims19 services$204.30 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

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

MISS-LOU INFUSION THERAPY
Clinic/Center (Infusion Therapy)
1643 CARTER STREET, SUITE 1
VIDALIA, LA 71373
Concordia Parish (318) 336-4444

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 Keeth's NPI number?

The NPI number for Lacey Keeth is 1679823090. It was assigned to this individual provider in the NPPES registry on September 12, 2012.

Where is Lacey Keeth located?

Lacey Keeth practices at 1643 Carter Street Suite #1, Vidalia, LA 71373. The listed phone number is (318) 336-8707.

What is Lacey Keeth's specialty?

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

Is Lacey Keeth enrolled in Medicare?

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

Which organization bills Medicare for Lacey Keeth's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lacey Keeth reassigns Medicare benefits to Concordia Parish Hospital Service District Number One (Ferriday, LA). 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 Lacey Keeth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lacey Keeth accept?

Health plans from HMO Louisiana list Lacey Keeth 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 Keeth was last updated on October 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.