Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lacey Renea Hantla, NP

Individual provider Family Nurse Practitioner · NPI 1881419877

Lacey Renea Hantla, NP is a Nurse Practitioner in Summerville, South Carolina. Qualified in 2024, 2 years ago. Practices with Palmetto Primary Care Physicians LLC, a 148-clinician group and accepts Medicare assignment. Licensed in South Carolina and Texas.

Years since qualifying
2
Licensed in
SC, TX
In the registry since
2024
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

133 E 1st North St Ste 5
Summerville, SC 29483-6873
Phone: (843) 872-1592
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 29706 (SC)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 1178328 (TX)

Record details

NPI number1881419877
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedNovember 15, 2024
Last updated in NPPESDecember 12, 2024
Certification dateDecember 12, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Palmetto Primary Care Physicians Llc — 148 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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