STACEY ELIZABETH LACEY
NPI 1679946008
Nurse Practitioner - Adult Health in Conway, SC

Q: What is Stacey Lacey's NPI number?

The NPI number for Stacey Lacey is 1679946008. It was assigned to this individual provider in the NPPES registry on November 6, 2015.

Q: What is Stacey Lacey's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Stacey Lacey was last updated on May 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since November 06, 2015PECOS Enrolled

300 SINGLETON RIDGE RD, CONWAY, SC 29526(843) 347-8175(432) 346-7598 Get Directions Write a Review

NPPES record last updated: May 21, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 21, 2020, Mar 20, 2016 (2 updates tracked since 2016).

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About Stacey Elizabeth Lacey NPPES

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

STACEY ELIZABETH LACEY (NPI 1679946008) is an individual adult health provider in Conway, South Carolina, licensed in South Carolina (AP129484) and active in the NPI registry since November 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Murrells Inlet.

NPPES Registry Identity

NPI1679946008

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameSTACEY ELIZABETH LACEY

Location Address300 SINGLETON RIDGE RDConway, SC 29526-9142

Mailing Address1401 Medical Pkwy, Bldg B, Ste 205Cedar Park, TX 78613-7763 · (512) 528-7401 · Fax (512) 528-7402

Phone(843) 347-8175

Fax(432) 346-7598

Sole ProprietorNo

Enumeration DateNovember 6, 2015

Last NPPES UpdateMay 21, 20202 updates tracked since enumeration

NPPES CertifiedMay 21, 2020

✔ NPI 1679946008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in SC · AP129484

Also ListedRegistered NurseTaxonomy 163W00000X · License 758324 (TX)

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License AP129484 (TX)

300 SINGLETON RIDGE RD, Conway, SC 29526

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Secondary Practice Location 1

Location 1148 Cypress Estates DrMurrells Inlet, SC 29576-8698 · Phone (512) 774-7054

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, InStil Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stacey Elizabeth Lacey 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 Reassignments

Medicare enrollment records show Stacey Lacey reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mcleod Physician Associates II

52 mi

Urology

800 E CHEVES ST, SUITE 350
Florence, SC 29506

Reassigned Medicare billing, South Carolina enrollment
878 clinicians in this Medicare group

NPI 1649428194 (843) 665-2000

Mcleod Regional Medical Center Of The Pee Dee, Inc

52 mi

Emergency Medical Services

555 E CHEVES ST
Florence, SC 29506

Reassigned Medicare billing, South Carolina enrollment
816 clinicians in this Medicare group

NPI 1154371433 (843) 777-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

205 services128 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

113 services88 patients

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

76 services17 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

49 services49 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

48 services22 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

46 services46 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29526 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

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 20

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

CLINIC SERVICES OF SOUTH CAROLINA PC

Hospitalist