DAVID EDWARD LACKEY APRN
NPI 1922755909
Nurse Practitioner in Louisville, KY

Active since March 09, 2022PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
4003 KRESGE WAY STE 410, LOUISVILLE, KY 40207(502) 893-7462 Get Directions Write a Review

NPPES record last updated: March 9, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1922755909
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameDAVID EDWARD LACKEYCredential: APRN
Location Address4003 KRESGE WAY STE 410Louisville, KY 40207-4652
Mailing Address5725 Waveland CirProspect, KY 40059-8666 · (704) 806-5905
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 9, 2022
NPPES CertifiedMarch 9, 2022
NPI 1922755909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in KY · 3015534
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
4003 KRESGE WAY STE 410, Louisville, KY 40207

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 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.

PECOS PAC ID5597151316
PECOS Enrollment IDI20220404002611
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.

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
426 services292 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
102 services102 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
83 services74 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
27 services24 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
18 services18 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
12 services11 patients

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, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180130
Location4000 Kresge WayLouisville, KY 40207 · Jefferson County
Emergency services Birthing friendly

Baptist Health Lagrange

Acute Care Hospitals · La Grange, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180138
Location1025 New Moody LaneLa Grange, KY 40031 · Oldham County
Emergency services Birthing friendly

Physician 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.

New Patient
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

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.

95.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.59
Promoting Interoperability100
Improvement Activities40

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.

Internal Medicine
4003 KRESGE WAY STE 410
LOUISVILLE, KY 40207
Nurse Practitioner (Family)
4003 KRESGE WAY STE 410
LOUISVILLE, KY 40207
Nurse Practitioner
4003 KRESGE WAY STE 410
LOUISVILLE, KY 40207
Nurse Practitioner (Adult Health)
4003 KRESGE WAY STE 410
LOUISVILLE, KY 40207
Nurse Practitioner (Family)
4003 KRESGE WAY STE 410
LOUISVILLE, KY 40207
Family Medicine
4003 KRESGE WAY STE 410
LOUISVILLE, KY 40207
Family Medicine
4003 KRESGE WAY STE 410
LOUISVILLE, KY 40207
Family Medicine
4003 KRESGE WAY STE 410
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.

What insurance does David Lackey accept?

Health plans from 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 with the weekly NPPES data releases published by CMS.