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Active NPI 1679758254 Individual Practitioner Female Practitioner

Lacey Caroline Gardner , PA-C

Physician Assistant • Mount Pleasant, MI

Professional Overview & Biography Verified Profile Summary

Lacey Gardner, PA-C is a registered healthcare professional specializing in Physician Assistant in Mount Pleasant, MI. Practice services are available at 1970 ASHLAND DR under active NPI credentials.

Frequently performed procedures and clinical services include hemoglobin a1c level, emergency department visit with moderate level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1970 Ashland Dr

Mount Pleasant, MI 488581203

Telephone 9897795262
Fax 9897726784
Associated Practice Facility / Clinic
🏢 Mclaren Central Michigan Facility NPI 1396365854

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Mount Pleasant, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 5.4 Yrs
State Avg: 12.2 Yrs
Regional Practice Density
24 Specialists

Practicing in Mount Pleasant, MI (7057 Statewide)

Telehealth Adoption Rate
8.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
83036 Hemoglobin A1C level
12 12 $30.00 $9.69

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MI 5601005080

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Blue Cross Blue Shield
010Z960170 (MI)
Commercial Insurance / Payer ID Medicare Group Number
MI1118 (MI)
Commercial Insurance / Payer ID Bcbs
080B610040 (MI)
Commercial Insurance / Payer ID Medicare Group Number
0P43930 (MI)
Commercial Insurance / Payer ID Medicare Group
0Z96017 (MI)
Commercial Insurance / Payer ID Medicare Ptan
0Z96017 (MI)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Tracy Brady , MD

Family Medicine

NPI 1528210838

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active February 27, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location February 27, 2013

Registered at 1970 ASHLAND DR, MOUNT PLEASANT, MI 488581203 (Tel: 9897795262)

📍
Updated Business Mailing Address February 27, 2013

Registered at 1970 ASHLAND DR, MOUNT PLEASANT, MI 488581203 (Tel: 9897795262)

👤
Provider Name / Credentials Updated February 27, 2013

Recorded as LACEY GARDNER, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 27, 2013

Physician Assistant (License #5601005080 in MI)

🟢
Initial NPI Registration & Enumeration January 02, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1679758254
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 02, 2008
Last Update: February 27, 2013
Sole Proprietor: No

Mailing Address

1970 Ashland Dr

Mount Pleasant, MI 488581203

Phone: 9897795262

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.