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LACIE BURLESON ARNP
NPI 1912365016
Nurse Practitioner - Acute Care in Tampa, FL

Active since February 03, 2016PECOS Enrolled
4129 N ARMENIA AVE, TAMPA, FL 33607(813) 879-3699(813) 873-8469 Get Directions Write a Review

NPPES record last updated: February 3, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lacie Burleson Arnp NPPES

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

LACIE BURLESON ARNP (NPI 1912365016) is an individual acute care provider in Tampa, Florida, licensed in Florida (ARNP9278784) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912365016
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameLACIE BURLESONCredential: ARNP
Location Address4129 N ARMENIA AVETampa, FL 33607-6436
Mailing Address4129 N Armenia AveTampa, FL 33607-6436 · (813) 879-3699 · Fax (813) 873-8469
Phone(813) 879-3699
Fax(813) 873-8469
Sole ProprietorNo
Enumeration DateFebruary 3, 2016
✔ NPI 1912365016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in FL · ARNP9278784
4129 N ARMENIA AVE, Tampa, FL 33607
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lacie Burleson Arnp 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.

Medicare Billing Reassignment

Medicare enrollment records show Lacie Burleson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Tampa Lung Specialists, P.A.
Same address
Pulmonary Disease
4129 N ARMENIA AVE, STE B
Tampa, FL 33607
  • Reassigned Medicare billing, Florida enrollment
  • 31 clinicians in this Medicare group
NPI 1407971419 (813) 879-3699

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 33607 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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 19

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

GREGORY J SMULL MD
Internal Medicine (Pulmonary Disease)
4129 N ARMENIA AVE
TAMPA, FL 33607
Hillsborough County (138) 793-6998
DR. RACHEL KOMALA MOODEY MD
Internal Medicine (Critical Care Medicine)
4129 N ARMENIA AVE
TAMPA, FL 33607
Hillsborough County (813) 879-3699
RAUL SIERRA MD PA
General Practice
4129 N ARMENIA AVE, SUITE B
TAMPA, FL 33607
Hillsborough County (813) 877-7526
DR. JACQUES EMMANUEL DENIS MD
Internal Medicine (Pulmonary Disease)
4129 N ARMENIA AVE
TAMPA, FL 33607
Hillsborough County (813) 879-3699
MS. ASHLEY KIEVIT PA-C
Physician Assistant
4129 N ARMENIA AVE
TAMPA, FL 33607
Hillsborough County (813) 879-3699
DR. KATHERINE E HODGIN M.D.
Internal Medicine (Critical Care Medicine)
4129 N ARMENIA AVE, SUITE B
TAMPA, FL 33607
Hillsborough County (813) 879-3699
MARGARITA GEORGIEVA TODOROV ARNP
Nurse Practitioner (Adult Health)
4129 N ARMENIA AVE
TAMPA, FL 33607
Hillsborough County (813) 879-3699
TAMPA LUNG SPECIALISTS, P.A.
Internal Medicine (Pulmonary Disease)
4129 N ARMENIA AVE, STE B
TAMPA, FL 33607
Hillsborough County (813) 879-3699

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 Lacie Burleson's NPI number?

The NPI number for Lacie Burleson is 1912365016. It was assigned to this individual provider in the NPPES registry on February 3, 2016.

Where is Lacie Burleson located?

Lacie Burleson practices at 4129 N Armenia Ave, Tampa, FL 33607. The listed phone number is (813) 879-3699.

What is Lacie Burleson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Lacie Burleson enrolled in Medicare?

Yes. Lacie Burleson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lacie Burleson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lacie Burleson reassigns Medicare benefits to Tampa Lung Specialists, P.A. (Tampa, FL). 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 Lacie Burleson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lacie Burleson was last updated on February 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.