MRS. LACEY LEE CROCKER P.A.
NPI 1801123989
Physician Assistant in Grand Rapids, MI

Active since November 10, 2009PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
25 MICHIGAN ST NE STE 6200, GRAND RAPIDS, MI 49503(616) 391-3304 Get Directions Write a Review

NPPES record last updated: November 6, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 6, 2023, Jan 31, 2023, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Mrs. Lacey Lee Crocker P.a. NPPES

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

MRS. LACEY LEE CROCKER P.A. (NPI 1801123989) is an individual physician assistant in Grand Rapids, Michigan, licensed in Michigan (5601005668) and active in the NPI registry since November 2009. She is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1801123989
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. LACEY LEE CROCKERCredential: P.A.
Location Address25 MICHIGAN ST NE STE 6200Grand Rapids, MI 49503-2577
Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateNovember 10, 2009
Last NPPES UpdateNovember 6, 20234 updates tracked since enumeration
NPPES CertifiedNovember 6, 2023
NPI 1801123989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MI · 5601005668
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

25 MICHIGAN ST NE STE 6200, Grand Rapids, MI 49503

Other Names 1

Former Name (1)Lacey L Sirdenis Pa-c

Accepted 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 Lee Crocker P.a. 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 ID7911040605
PECOS Enrollment IDI20100203000328
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

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.
13 services11 patients

Hospital Affiliations CMS Care Compare

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

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230038
Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49503 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.54
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Non-implanted pelvic floor electrical stimulator, complete system E0740
DME-Other DME · category DE000N
1 supplier18 claims18 services$41.63 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

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

Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
25 MICHIGAN ST NE STE 6200
GRAND RAPIDS, MI 49503
Obstetrics & Gynecology
25 MICHIGAN ST NE STE 6200
GRAND RAPIDS, MI 49503
Physician Assistant
25 MICHIGAN ST NE STE 6200
GRAND RAPIDS, MI 49503
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
25 MICHIGAN ST NE STE 6200
GRAND RAPIDS, MI 49503
Obstetrics & Gynecology
25 MICHIGAN ST NE STE 6200
GRAND RAPIDS, MI 49503
Obstetrics & Gynecology
25 MICHIGAN ST NE STE 6200
GRAND RAPIDS, MI 49503
Nurse Practitioner (Women's Health)
25 MICHIGAN ST NE STE 6200
GRAND RAPIDS, MI 49503
Physician Assistant
25 MICHIGAN ST NE STE 6200
GRAND RAPIDS, MI 49503

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 Crocker's NPI number?

The NPI number for Lacey Crocker is 1801123989. It was assigned to this individual provider in the NPPES registry on November 10, 2009. The provider is also known as Lacey L Sirdenis Pa-C.

Where is Lacey Crocker located?

Lacey Crocker practices at 25 Michigan St NE Ste 6200, Grand Rapids, MI 49503. The listed phone number is (616) 391-3304.

What is Lacey Crocker's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Lacey Crocker enrolled in Medicare?

Yes. Lacey Crocker 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 Crocker accept?

Health plans from Priority Health list Lacey Crocker 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 Crocker affiliated with any hospitals?

According to CMS data, Lacey Crocker is affiliated with Spectrum Health.

When was this NPI record last updated?

The NPPES record for Lacey Crocker was last updated on November 6, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.