DAVID EDWARD LACKEY APRN
NPI 1922755909
Nurse Practitioner in Louisville, KY
About David Edward Lackey Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DAVID EDWARD LACKEY APRN (NPI 1922755909) is an individual nurse practitioner in Louisville, Kentucky, licensed in Kentucky (3015534) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Louisville, and is a graduate of Other (2020).
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
David Edward Lackey Aprn 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 David Lackey reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Louisville, KY 40207
- Reassigned Medicare billing, Kentucky enrollment
- 1,441 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.
Areas of Expertise CMS Part B claims 8
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Baptist Health Louisville
Acute Care Hospitals · Louisville, KYBaptist Health Lagrange
Acute Care Hospitals · La Grange, KYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 40207 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOUISVILLE, KY 40207
LOUISVILLE, KY 40207
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 David Lackey's NPI number?
The NPI number for David Lackey is 1922755909. It was assigned to this individual provider in the NPPES registry on March 9, 2022.
Where is David Lackey located?
David Lackey practices at 4003 Kresge Way Ste 410, Louisville, KY 40207. The listed phone number is (502) 893-7462.
What is David Lackey's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is David Lackey enrolled in Medicare?
Yes. David Lackey 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 David Lackey's services?
According to the CMS Revalidation Reassignment List (October 2026 release), David Lackey reassigns Medicare benefits to Baptist Health Medical Group Inc (Louisville, KY). 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 David Lackey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does David Lackey accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee, Anthem Blue Cross and Blue Shield and CareSource list David Lackey 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 David Lackey affiliated with any hospitals?
According to CMS data, David Lackey is affiliated with Baptist Health Louisville and Baptist Health Lagrange.
When was this NPI record last updated?
The NPPES record for David Lackey was last updated on March 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# David Edward Lackey, APRN · NPI 1922755909
Nurse Practitioner physician in Louisville, Kentucky. Individual provider, active in the CMS NPPES registry since March 9, 2022.
## Identity
- **NPI:** 1922755909 (Entity type: Individual)
- **Enumerated:** March 9, 2022
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 3015534 (Kentucky)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4003 KRESGE WAY STE 410, Louisville, KY 40207-4652
- **Phone:** (502) 893-7462
## 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:** Baptist Health Medical Group Inc (NPI 1336572601, Louisville, KY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** March 9, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1922755909) · Data from the CMS NPPES public registry.