MRS. LACY TWINING PITMAN CRNP NPI 1073598462

NPI Information

  • NPI: 1073598462
  • Provider Name: MRS. LACY TWINING PITMAN, CRNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 110 HOSPITAL RD STE 111
    PRINCE FREDERICK, MD
    ZIP 20678
  • Phone: (410) 535-4488

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NPI Details

MRS. Lacy Twining Pitman, CRNP is a family nurse practitioner in Prince Frederick, MD. MRS. Lacy Twining Pitman, CRNP NPI is 1073598462. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

110 HOSPITAL RD STE 111
PRINCE FREDERICK, MD
ZIP 20678-039
Phone: (410) 535-4488
Fax: (443) 771-8114

The NPI 1073598462 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Fee covid-19 vac 14 res (HCPCS:0134A)
  • Coronavirus vaccine 14 (HCPCS:91313)
  • Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
  • Sarscov2 vac 50mcg/0.25ml im (HCPCS:91306)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Urinalysis, manual test (HCPCS:81002)
  • Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use (HCPCS:90677)
  • Pneumococcal vaccine, 23-valent (HCPCS:90732)
  • Coronavirus vaccine 13 (HCPCS:91312)
  • Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus (HCPCS:87426)
  • Fee covid-19 vac 13 res (HCPCS:0124A)

The enumeration date for this NPI number is 12/8/2005 and was last updated on 1/16/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyR147334MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1407239100MEDICAIDMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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