NICHOLAS LACIVITA
NPI 1700451291
Psychiatry & Neurology - Psychiatry in Brandon, MS

Q: What is Nicholas Lacivita's NPI number?

The NPI number for Nicholas Lacivita is 1700451291. It was assigned to this individual provider in the NPPES registry on May 26, 2021.

Q: What is Nicholas Lacivita's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Nicholas Lacivita was last updated on September 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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 May 26, 2021PECOS EnrolledAccepts Medicare Assignment

613 MARQUETTE RD, BRANDON, MS 39042(601) 824-0342 Get Directions Write a Review

NPPES record last updated: September 11, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 11, 2024, Jul 15, 2021, May 26, 2021 (3 updates tracked since 2021).

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About Nicholas Lacivita NPPES

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

NICHOLAS LACIVITA (NPI 1700451291) is an individual psychiatry provider in Brandon, Mississippi, licensed in Mississippi (30993) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS, is affiliated with Tristar Centennial Medical Center, and is a graduate of William Carey University College Of Osteopathic Medicine (2021).

NPPES Registry Identity

NPI1700451291

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameNICHOLAS LACIVITA

Location Address613 MARQUETTE RDBrandon, MS 39042-3038

Mailing AddressPo Box 157aWhitfield, MS 39193-0157

Phone(601) 824-0342

Sole ProprietorYes

Medical School CMSWilliam Carey University College Of Osteopathic MedicineGraduated 2021

Enumeration DateMay 26, 2021

Last NPPES UpdateSeptember 11, 20243 updates tracked since enumeration

NPPES CertifiedSeptember 11, 2024

✔ NPI 1700451291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in MS · 30993

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

613 MARQUETTE RD, Brandon, MS 39042

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicholas Lacivita 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 ID3577967728

PECOS Enrollment IDI20250708004468

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Tristar Centennial Medical Center

Acute Care Hospitals · Nashville, TN

4/5 CMS rating

OwnershipProprietary

CMS Certification Number440161

Location2300 Patterson StreetNashville, TN 37203 · Davidson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39042 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

$159.18 typical visit price

range $51.65 – $159.18

Typical copayment $39.79 (range $12.91 – $39.79)

Most-billed visit code 99205

Established Patient

$64.96 typical visit price

range $16.15 – $129.61

Typical copayment $16.24 (range $4.03 – $32.40)

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.

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.

BRANDY NICOLE NEWSOME BYRD PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)