LACEY BRANTNER ARNP
NPI 1912629601
Nurse Practitioner - Pediatrics in Puyallup, WA
About Lacey Brantner Arnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LACEY BRANTNER ARNP (NPI 1912629601) is an individual pediatrics provider in Puyallup, Washington, licensed in Washington (AP61358655) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
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 (PECOS)
Lacey Brantner Arnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98374 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 2
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 Brantner's NPI number?
The NPI number for Lacey Brantner is 1912629601. It was assigned to this individual provider in the NPPES registry on September 19, 2022.
Where is Lacey Brantner located?
Lacey Brantner practices at 11102 Sunrise Blvd E Ste 104, Puyallup, WA 98374. The listed phone number is (253) 848-8797.
What is Lacey Brantner's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Lacey Brantner enrolled in Medicare?
Yes. Lacey Brantner is registered in the Medicare PECOS enrollment system.
What insurance does Lacey Brantner accept?
Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Lacey Brantner 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 Brantner was last updated on September 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Lacey Brantner, ARNP · NPI 1912629601
Pediatrics physician in Puyallup, Washington. Individual provider, active in the CMS NPPES registry since September 19, 2022.
## Identity
- **NPI:** 1912629601 (Entity type: Individual)
- **Enumerated:** September 19, 2022
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** AP61358655 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 11102 SUNRISE BLVD E STE 104, Puyallup, WA 98374-8846
- **Phone:** (253) 848-8797
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** September 19, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1912629601) · Data from the CMS NPPES public registry.