LACEY RENEA HANTLA NP
NPI 1881419877
Nurse Practitioner - Family in Summerville, SC
About Lacey Renea Hantla Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LACEY RENEA HANTLA NP (NPI 1881419877) is an individual family provider in Summerville, South Carolina, licensed in South Carolina (29706) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Accepted 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 Renea Hantla Np 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.
Medicare Billing Reassignment
Medicare enrollment records show Lacey Hantla reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Summerville, SC 29483
- Reassigned Medicare billing, South Carolina enrollment
- 290 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 29483 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Hantla's NPI number?
The NPI number for Lacey Hantla is 1881419877. It was assigned to this individual provider in the NPPES registry on November 15, 2024.
Where is Lacey Hantla located?
Lacey Hantla practices at 133 E 1st North St Ste 5, Summerville, SC 29483. The listed phone number is (843) 872-1592.
What is Lacey Hantla's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Lacey Hantla enrolled in Medicare?
Yes. Lacey Hantla 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 organization bills Medicare for Lacey Hantla's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lacey Hantla reassigns Medicare benefits to Palmetto Primary Care Physicians, LLC (Summerville, SC). The 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 Hantla's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Lacey Hantla accept?
Health plans from Molina Healthcare list Lacey Hantla 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.
When was this NPI record last updated?
The NPPES record for Lacey Hantla was last updated on December 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.
# Lacey Renea Hantla, NP · NPI 1881419877
Family physician in Summerville, South Carolina. Individual provider, active in the CMS NPPES registry since November 15, 2024.
## Identity
- **NPI:** 1881419877 (Entity type: Individual)
- **Enumerated:** November 15, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 29706 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 133 E 1ST NORTH ST STE 5, Summerville, SC 29483-6873
- **Phone:** (843) 872-1592
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Palmetto Primary Care Physicians, LLC (NPI 1275201428, Summerville, SC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** December 12, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1881419877) · Data from the CMS NPPES public registry.