Lacey Ann Hackworth-Rothwell, FNP
NPI 1740046077ActiveIndividual· Nurse Practitioner· Texarkana, TX
Nurse Practitioner (FNP) with Collom and Carney Clinic Association, practicing in Texarkana, Texas. Enrolled in Medicare as practitioner - nurse practitioner and practitioner - nurse practitioner. Lists Christus St Michael Health System as a hospital affiliation.
Overview
| NPI | 1740046077 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP |
| Sole proprietor | No |
| NPI issued | Feb 23, 2024 |
| Last updated in NPPES | Jul 8, 2026 |
| Certified by provider | Jul 8, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 1187990 | TX |
| Nurse Practitioner | 363L00000X | 53-82956 | KS |
| Nurse Practitioner | 363L00000X | 2024007853 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (KS); Practitioner - Nurse Practitioner (TX) |
|---|
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Collom and Carney Clinic AssociationTexarkana, TX · 51 clinicians
Hospital affiliation
- Christus St Michael Health SystemTexarkana, TX
Other facilities
- Choice Homecare of the PinesHome health agency · Longview, TX
- Paradigm HomecareHome health agency · Tyler, TX
- Ut Health East Texas Home Health ServicesHome health agency · Pittsburg, TX
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 36 nurse practitioners in Texarkana · All nurse practitioners in Texas