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MRS. LACEY GRIMES LICHTENSTEIN NP-C
NPI 1720477714
Nurse Practitioner - Family in Gulfport, MS

Active since January 14, 2015PECOS EnrolledAccepts Medicare Assignment
1340 BROAD AVE, GULFPORT, MS 39501(228) 575-1234 Get Directions Write a Review

NPPES record last updated: October 27, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mrs. Lacey Grimes Lichtenstein Np-c NPPES

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

MRS. LACEY GRIMES LICHTENSTEIN NP-C (NPI 1720477714) is an individual family provider in Gulfport, Mississippi, licensed in Mississippi (F1214550) and active in the NPI registry since January 2015. She is enrolled in Medicare PECOS, is affiliated with Memorial Hospital At Gulfport, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1720477714
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. LACEY GRIMES LICHTENSTEINCredential: NP-C
Location Address1340 BROAD AVEGulfport, MS 39501-2404
Mailing Address1340 Broad AveGulfport, MS 39501-2404 · (228) 572-1234
Phone(228) 575-1234
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJanuary 14, 2015
Last NPPES UpdateOctober 27, 2020
NPPES CertifiedOctober 27, 2020
✔ NPI 1720477714 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
License✔ Licensed in MS · F1214550
1340 BROAD AVE, Gulfport, MS 39501
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.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

Mrs. Lacey Grimes Lichtenstein Np-c 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 ID1557675865
PECOS Enrollment IDI20150730013015
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.

Areas of Expertise CMS Part B claims 4

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 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.
163 services125 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.
143 services112 patients
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.
129 services80 patients
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.
103 services76 patients

Hospital Affiliations CMS Care Compare 2

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

Memorial Hospital At Gulfport

Acute Care Hospitals · Gulfport, MS
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number250019
Location4500 13th StreetGulfport, MS 39502 · Harrison County
Emergency services Birthing friendly

Singing River Gulfport

Acute Care Hospitals · Gulfport, MS
1/5 CMS rating
OwnershipProprietary
CMS Certification Number250123
Location15200 Community RoadGulfport, MS 39503 · Harrison County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39501 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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.

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.

DR. NABIL AZAR M.D.
Hospitalist
1340 BROAD AVE, SUITE 310
GULFPORT, MS 39501
Harrison County (228) 575-1400
DR. PAUL DEREK WARE MD
Surgery
1340 BROAD AVE, SUITE 240
GULFPORT, MS 39501
Harrison County (228) 575-1200
GULF COAST SPINAL & NEUROSURGICAL SPECIALISTS
Clinic/Center (Ambulatory Surgical)
1340 BROAD AVE, SUITE 440
GULFPORT, MS 39501
Harrison County (228) 822-2117
MEMORIAL HOSPITAL AT GULFPORT
Radiology (Radiation Oncology)
1340 BROAD AVE, SUITE 140
GULFPORT, MS 39501
Harrison County (228) 818-0563
CHRISTY M COUEVAS
Nurse Anesthetist, Certified Registered
1340 BROAD AVE
GULFPORT, MS 39501
Harrison County (228) 575-2902
CRAIG A DAWKINS M.D.
Urology
1340 BROAD AVE, SUITE 210
GULFPORT, MS 39501
Harrison County (228) 863-4490
MEMORIAL HOSPITAL AT GULFPORT
Internal Medicine (Gastroenterology)
1340 BROAD AVE, SUITE 300
GULFPORT, MS 39501
Harrison County (228) 575-1200
WALTER JOSPEH SUROWIEC JR. D.O.,F.A.C.S.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1340 BROAD AVE, STE 420
GULFPORT, MS 39501
Harrison County (228) 575-1500

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 Lichtenstein's NPI number?

The NPI number for Lacey Lichtenstein is 1720477714. It was assigned to this individual provider in the NPPES registry on January 14, 2015.

Where is Lacey Lichtenstein located?

Lacey Lichtenstein practices at 1340 Broad Ave, Gulfport, MS 39501. The listed phone number is (228) 575-1234.

What is Lacey Lichtenstein's specialty?

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

Is Lacey Lichtenstein enrolled in Medicare?

Yes. Lacey Lichtenstein 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.

What insurance does Lacey Lichtenstein accept?

Health plans from Blue Cross and Blue Shield of Alabama list Lacey Lichtenstein 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.

Is Lacey Lichtenstein affiliated with any hospitals?

According to CMS data, Lacey Lichtenstein is affiliated with Memorial Hospital At Gulfport and Singing River Gulfport.

When was this NPI record last updated?

The NPPES record for Lacey Lichtenstein was last updated on October 27, 2020. 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.