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LACEY RENEA HANTLA NP
NPI 1881419877
Nurse Practitioner - Family in Summerville, SC

Active since November 15, 2024PECOS EnrolledAccepts Medicare Assignment
133 E 1ST NORTH ST STE 5, SUMMERVILLE, SC 29483(843) 872-1592 Get Directions Write a Review

NPPES record last updated: December 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 12, 2024, Nov 15, 2024 (2 updates tracked since 2024).

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, is affiliated with Trident Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1881419877
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLACEY RENEA HANTLACredential: NP
Location Address133 E 1ST NORTH ST STE 5Summerville, SC 29483-6873
Mailing Address133 E 1st North St Ste 5Summerville, SC 29483-6873 · (843) 872-1592
Phone(843) 872-1592
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateNovember 15, 2024
Last NPPES UpdateDecember 12, 20242 updates tracked since enumeration
NPPES CertifiedDecember 12, 2024
✔ NPI 1881419877 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
Licenses✔ Licensed in SC · 29706✔ Licensed in TX · 1178328
133 E 1ST NORTH ST STE 5, Summerville, SC 29483
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.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

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.

PECOS PAC ID547782559
PECOS Enrollment IDI20250319003291
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.

Hospital Affiliations CMS Care Compare

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

Trident Medical Center

Acute Care Hospitals · Charleston, SC
3/5 CMS rating
OwnershipProprietary
CMS Certification Number420079
Location9330 Medical Plaza DrCharleston, SC 29406 · Charleston County
Emergency services Birthing friendly

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.

New Patient
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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 4

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

KELLIE JO STURMAN FNP
Nurse Practitioner (Family)
133 E 1ST NORTH ST STE 5
SUMMERVILLE, SC 29483
Berkeley County (843) 873-0681
ALLISON M. GRIMES FNP
Nurse Practitioner (Family)
133 E 1ST NORTH ST STE 5
SUMMERVILLE, SC 29483
Berkeley County (843) 873-1592
PALMETTO PRIMARY CARE PHYSICIANS, LLC
Family Medicine
133 E 1ST NORTH ST STE 5
SUMMERVILLE, SC 29483
Berkeley County (843) 873-1592
ELI MICHAEL ROBINSON PA-C
Physician Assistant
133 E 1ST NORTH ST STE 5
SUMMERVILLE, SC 29483
Berkeley County (843) 863-7050

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.

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.

Is Lacey Hantla affiliated with any hospitals?

According to CMS data, Lacey Hantla is affiliated with Trident Medical Center.

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 19 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.