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: July 26, 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
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

Other Identifiers 1

Medicaid2460561LA

Accepted 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)

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.

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.

Clinic/Center (Infusion Therapy)
1643 CARTER STREET, SUITE 1
VIDALIA, LA 71373

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.

What insurance does Lacey Keeth accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 2 other insurers 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 with the weekly NPPES data releases published by CMS.