Doctor profile · Federal record
Dr. Lacey Jandrin, PA-C
Physician Assistant · Occupational Therapist · Physician Assistant · Green Bay, WI
- NPI 1104183516
- Accepts Medicare
- 10 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 5 locations .
- Primary practice
-
1970 S Ridge RD
Green Bay, WI 543044125
(920) 430-4888
fax (920) 430-4889 - Additional location
-
1160 Kepler Dr
Green Bay, WI 543118321
(920) 288-5555
fax (920) 288-5550 - Additional location
-
2820 Roosevelt RD
Marinette, WI 541433834
(715) 735-5225
fax (715) 735-5388 - Additional location
-
3415 Custer St Ste D
Manitowoc, WI 542204328
(920) 652-9310
fax (920) 652-9316 - Additional location
-
820 Arbutus Ave
Oconto, WI 541532004
(920) 835-1100
fax (920) 835-1099 - Mailing address
-
Po Box 22487
Green Bay, WI 543052487
Show 2 more locations
Credentials & registration
- NPI registered
- April 2012 — 14 yrs on file
- Profile last updated
- January 30, 2023
- Year of graduation
- 2016 — 10 yrs since
- Specialty taxonomy
- 363A00000X — NUCC code
- State licenses (3)
- Wisconsin #3761-23 · Wisconsin #4712 · Wisconsin #1135070
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1104183516. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
266
Distinct HCPCS
8
Medicare allowed
$16,079
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 56 | 44 | $74 | |
J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 48 | 33 | $1 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 33 | 33 | $135 | |
20550 |
Injection into tendon or ligament | 32 | 26 | $45 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 32 | 29 | $104 | |
J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 24 | 18 | $6 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 21 | 21 | $91 | |
20600 |
Aspiration and/or injection of fluid from small joint | 20 | 15 | $32 |
In context: peer comparison
Among 67 peers in Green Bay Physician Assistant, average services per provider: 85. This provider delivers 3.1× the peer median.Frequently asked questions
What is Dr. Lacey Jandrin's medical specialty?
Dr. Lacey Jandrin practices Physician Assistant in Green Bay, WI.
Where does Dr. Lacey Jandrin practice?
Dr. Lacey Jandrin practices at 1970 S Ridge RD, Green Bay, WI 543044125. Office phone: 9204304888.
What is Dr. Lacey Jandrin's NPI?
Dr. Lacey Jandrin's National Provider Identifier (NPI) is 1104183516, issued by NPPES.
Does Dr. Lacey Jandrin accept Medicare assignment?
Yes. Dr. Lacey Jandrin accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Lacey Jandrin commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213); Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS J3301); New patient office or other outpatient visit (HCPCS 99204). Source: CMS Medicare Physician & Other Practitioners file.