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LACEY TUDOR PA
NPI 1881017655
Physician Assistant in Mechanicsville, VA

Active since January 29, 2014PECOS Enrolled
8260 ATLEE RD, EMERGENCY DEPT., MECHANICSVILLE, VA 23116(804) 764-6300(804) 764-6562 Get Directions Write a Review

NPPES record last updated: January 29, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lacey Tudor Pa NPPES

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

LACEY TUDOR PA (NPI 1881017655) is an individual physician assistant in Mechanicsville, Virginia, licensed in Virginia (0110004486) and active in the NPI registry since January 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881017655
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLACEY TUDORCredential: PA
Location Address8260 ATLEE RD, EMERGENCY DEPT.Mechanicsville, VA 23116-1844
Mailing Address38935 Ann Arbor Rd, Credentialing DeptLivonia, MI 48150-3397 · (734) 805-0488 · Fax (866) 250-6385
Phone(804) 764-6300
Fax(804) 764-6562
Sole ProprietorNo
Enumeration DateJanuary 29, 2014
✔ NPI 1881017655 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 VA · 0110004486
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.
8260 ATLEE RD, Mechanicsville, VA 23116
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Other Names 1

Former Name (1)Lacey Lumpkin

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lacey Tudor Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23116 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

DAVID IKEDA M.D.
Anesthesiology
8260 ATLEE RD
MECHANICSVILLE, VA 23116
Hanover County (804) 764-6000
STEPHANIE COLEGROVE
Specialist/Technologist, Other (Surgical Assistant)
8260 ATLEE RD
MECHANICSVILLE, VA 23116
Hanover County (804) 764-6000
DR. EMILY JOY RICHARDSON DNP, FNP-BC
Nurse Practitioner (Family)
8260 ATLEE RD
MECHANICSVILLE, VA 23116
Hanover County (804) 764-6000
BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER LLC
General Acute Care Hospital
8260 ATLEE RD
MECHANICSVILLE, VA 23116
Hanover County (804) 594-3478
ELIZABETH GLENN-HOWELL CRNA
Registered Nurse
8260 ATLEE RD
MECHANICSVILLE, VA 23116
Hanover County (804) 288-6258
MUHAMMAD YASEEN MD
Internal Medicine (Critical Care Medicine)
8260 ATLEE RD
MECHANICSVILLE, VA 23116
Hanover County (804) 764-6000
MRS. MEAGAN MEY CRNA
Nurse Anesthetist, Certified Registered
8260 ATLEE RD
MECHANICSVILLE, VA 23116
Hanover County (804) 764-6000
MS. MARY ELIZABETH WILLIAMS PA-C
Physician Assistant
8260 ATLEE RD
MECHANICSVILLE, VA 23116
Hanover County (804) 569-7007

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 Tudor's NPI number?

The NPI number for Lacey Tudor is 1881017655. It was assigned to this individual provider in the NPPES registry on January 29, 2014. The provider is also known as Lacey Lumpkin.

Where is Lacey Tudor located?

Lacey Tudor practices at 8260 Atlee Rd Emergency Dept., Mechanicsville, VA 23116. The listed phone number is (804) 764-6300.

What is Lacey Tudor's specialty?

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

Is Lacey Tudor enrolled in Medicare?

Yes. Lacey Tudor is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lacey Tudor was last updated on January 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.