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LACEY ANN HACKWORTH-ROTHWELL FNP
NPI 1740046077
Nurse Practitioner in Texarkana, TX

Active since February 23, 2024PECOS EnrolledAccepts Medicare Assignment
5002 COWHORN CREEK ROAD, TEXARKANA, TX 75503(903) 614-3000(903) 614-3525 Get Directions Write a Review

NPPES record last updated: July 8, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 8, 2026, Apr 24, 2026, Jun 24, 2025 and 2 more (5 updates tracked since 2025).

About Lacey Ann Hackworth-rothwell Fnp NPPES

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

LACEY ANN HACKWORTH-ROTHWELL FNP (NPI 1740046077) is an individual nurse practitioner in Texarkana, Texas, licensed in Texas (1187990) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS, is affiliated with Christus St Michael Health System, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1740046077
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameLACEY ANN HACKWORTH-ROTHWELLCredential: FNP
Location Address5002 COWHORN CREEK ROADTexarkana, TX 75503
Mailing Address5002 Cowhorn Creek RdTexarkana, TX 75503-9766 · (903) 614-3000 · Fax (903) 614-3583
Phone(903) 614-3000
Fax(903) 614-3525
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateFebruary 23, 2024
Last NPPES UpdateJuly 8, 20265 updates tracked since enumeration
NPPES CertifiedJuly 8, 2026
✔ NPI 1740046077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in TX · 1187990✔ Licensed in KS · 53-82956✔ Licensed in MO · 2024007853
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
5002 COWHORN CREEK ROAD, Texarkana, TX 75503
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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 Texas, Health Advantage, Octave.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 Ann Hackworth-rothwell Fnp 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 ID8729427596
PECOS Enrollment IDI20250331002825
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

2

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

Collom & Carney Clinic Association
Same address
Cardiovascular Disease
5002 COWHORN CREEK RD
Texarkana, TX 75503
  • Reassigned Medicare billing, Texas enrollment
  • 41 clinicians in this Medicare group
NPI 1013252279 (903) 614-3000
Cotton-O'neil Clinic Revocable Trust
396 mi
Internal Medicine
901 SW GARFIELD AVE
Topeka, KS 66606
  • Reassigned Medicare billing, Kansas enrollment
  • 854 clinicians in this Medicare group
NPI 1811944457 (785) 354-9591

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

Hospital Affiliations CMS Care Compare

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

Christus St Michael Health System

Acute Care Hospitals · Texarkana, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450801
Location2600 St Michael DrTexarkana, TX 75503 · Bowie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75503 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 Hackworth-rothwell's NPI number?

The NPI number for Lacey Hackworth-rothwell is 1740046077. It was assigned to this individual provider in the NPPES registry on February 23, 2024.

Where is Lacey Hackworth-rothwell located?

Lacey Hackworth-rothwell practices at 5002 Cowhorn Creek Road, Texarkana, TX 75503. The listed phone number is (903) 614-3000.

What is Lacey Hackworth-rothwell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Lacey Hackworth-rothwell enrolled in Medicare?

Yes. Lacey Hackworth-rothwell 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 Hackworth-rothwell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lacey Hackworth-rothwell reassigns Medicare benefits to 2 organizations: Collom & Carney Clinic Association (Texarkana, TX) and Cotton-O'neil Clinic Revocable Trust (Topeka, KS). 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 Hackworth-rothwell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lacey Hackworth-rothwell accept?

Health plans from Blue Cross and Blue Shield of Texas, Health Advantage and Octave list Lacey Hackworth-rothwell 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 Hackworth-rothwell affiliated with any hospitals?

According to CMS data, Lacey Hackworth-rothwell is affiliated with Christus St Michael Health System.

When was this NPI record last updated?

The NPPES record for Lacey Hackworth-rothwell was last updated on July 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.