Roy Jareth Lackey, PA-C
NPI 1962169011ActiveIndividual· Physician Assistant· Fpo, AE
Physician Assistant (PA-C) in Fpo, Armed Forces Europe, licensed in CA, with an NPI issued in November 2021. Enrolled in Medicare as practitioner - physician assistant.
Overview
| NPI | 1962169011 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Nov 23, 2021 |
| Last updated in NPPES | Aug 24, 2026 |
| Certified by provider | Aug 24, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA62549 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (CA) |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Physician Assistant providers in Fpo
- 1811596620
- 1083124143
- 1386866796
- 1255890265
- 1780956946
- 1477883908
- 1245864818
- 1881160091
- 1437743739
- 1114066289
- 1538499918