LACEY WILBANKS
NPI 1023893922
Nurse Practitioner - Family in Anderson, SC

Active since August 29, 2023PECOS EnrolledAccepts Medicare Assignment
108 MONTGOMERY DR, ANDERSON, SC 29621(864) 225-5597 Get Directions Write a Review

NPPES record last updated: August 29, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lacey Wilbanks NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LACEY WILBANKS (NPI 1023893922) is an individual family provider in Anderson, South Carolina, licensed in South Carolina (27810) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS, is affiliated with Anmed Health, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1023893922
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLACEY WILBANKS
Location Address108 MONTGOMERY DRAnderson, SC 29621-3334
Mailing Address108 Montgomery DrAnderson, SC 29621-3334
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 29, 2023
NPPES CertifiedAugust 29, 2023
NPI 1023893922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in SC · 27810
108 MONTGOMERY DR, Anderson, SC 29621

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Lacey Wilbanks is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8224480652
PECOS Enrollment IDI20240122000729
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Anmed Health

Acute Care Hospitals · Anderson, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420027
Location800 N Fant StAnderson, SC 29621 · Anderson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29621 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
108 MONTGOMERY DR
ANDERSON, SC 29621
Clinic/Center (Physical Therapy)
108 MONTGOMERY DR
ANDERSON, SC 29621
Nurse Practitioner (Family)
108 MONTGOMERY DR
ANDERSON, SC 29621
Specialist
108 MONTGOMERY DR
ANDERSON, SC 29621
Clinic/Center (Physical Therapy)
108 MONTGOMERY DR
ANDERSON, SC 29621
Nurse Practitioner (Family)
108 MONTGOMERY DR
ANDERSON, SC 29621
Physical Medicine & Rehabilitation (Pain Medicine)
108 MONTGOMERY DR
ANDERSON, SC 29621
Physician Assistant
108 MONTGOMERY DR
ANDERSON, SC 29621

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lacey Wilbanks's NPI number?

The NPI number for Lacey Wilbanks is 1023893922. It was assigned to this individual provider in the NPPES registry on August 29, 2023.

Where is Lacey Wilbanks located?

Lacey Wilbanks practices at 108 Montgomery Dr, Anderson, SC 29621. The listed phone number is (864) 225-5597.

What is Lacey Wilbanks's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Lacey Wilbanks enrolled in Medicare?

Yes. Lacey Wilbanks is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Lacey Wilbanks affiliated with any hospitals?

According to CMS data, Lacey Wilbanks is affiliated with Anmed Health.

When was this NPI record last updated?

The NPPES record for Lacey Wilbanks was last updated on August 29, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.