LACEY LUNDGREN APRN
NPI 1689088205
Nurse Practitioner - Psychiatric/Mental Health in Bastrop, TX

Active since June 12, 2014PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: August 29, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 9, 2023, Oct 3, 2023, Jun 13, 2023 (3 updates tracked since 2023).

About Lacey Lundgren Aprn NPPES

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

LACEY LUNDGREN APRN (NPI 1689088205) is an individual psychiatric/mental health provider in Bastrop, Texas, licensed in Texas (AP125777) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1689088205
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameLACEY LUNDGRENCredential: APRN
Location Address1128 TX-21Bastrop, TX 78602-4298
Mailing Address16800 Lund Rd NElgin, TX 78621-3830 · (512) 413-5190
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateJune 12, 2014
Last NPPES UpdateAugust 29, 20243 updates tracked since enumeration
NPPES CertifiedAugust 27, 2024
✔ NPI 1689088205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in TX · AP125777
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License AP125777 (TX)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License AP125777 (TX)
1128 TX-21, Bastrop, TX 78602

Other Identifiers 3

Medicaid342462401TX
Other791283TX · Rn License
OtherAP125777TX · Aprn License No.

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lacey Lundgren Aprn 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 ID8426270596
PECOS Enrollment IDI20141105002608
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

3

Medicare enrollment records show Lacey Lundgren reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health (Including Community Mental Health Center)
1009 N GEORGETOWN ST
Round Rock, TX 78664
  • Reassigned Medicare billing, Texas enrollment
  • 216 clinicians in this Medicare group
Psychiatry
610 S WATTERS RD STE 130
Allen, TX 75013
  • Reassigned Medicare billing, Texas enrollment
  • 187 clinicians in this Medicare group
Psychiatry
610 S WATTERS RD STE 130
Allen, TX 75013
  • Reassigned Medicare billing, Texas enrollment
  • 207 clinicians in this Medicare group

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 78602 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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 Lundgren's NPI number?

The NPI number for Lacey Lundgren is 1689088205. It was assigned to this individual provider in the NPPES registry on June 12, 2014.

Where is Lacey Lundgren located?

Lacey Lundgren practices at 1128 Tx-21, Bastrop, TX 78602. The listed phone number is (844) 215-4498.

What is Lacey Lundgren's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Lacey Lundgren enrolled in Medicare?

Yes. Lacey Lundgren 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.

Which organizations bill Medicare for Lacey Lundgren's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lacey Lundgren reassigns Medicare benefits to 3 organizations: Bluebonnet Trails Community Mhmr Center (Round Rock, TX), Bsw Geode Clinicians Of Texas PLLC (Allen, TX) and Geode Health Of Texas, PLLC (Allen, TX). Each 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 Lundgren's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lacey Lundgren accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Cigna Healthcare, Oscar Insurance Company and UnitedHealthcare and 1 other insurer list Lacey Lundgren 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 Lundgren was last updated on August 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.