1. Home
  2. Directory
  3. Wyoming
  4. Sundance
  5. Dietitian Registered
  6. NPI Profile

LACEY WADDELL MS, RD, LD
NPI 1033497425
Dietitian, Registered in Sundance, WY

Active since August 02, 2011
97.58/100
CMS Quality Rating
713 W OAK STREET, SUNDANCE, WY 82729(307) 283-3501 Get Directions Write a Review

NPPES record last updated: December 20, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lacey Waddell Ms, Rd, Ld NPPES

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

LACEY WADDELL MS, RD, LD (NPI 1033497425) is an individual dietitian, registered in Sundance, Wyoming, licensed in Wyoming (211) and active in the NPI registry since August 2011.

NPPES Registry Identity

NPI1033497425
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameLACEY WADDELLCredential: MS, RD, LD
Location Address713 W OAK STREETSundance, WY 82729
Mailing AddressPo Box 517Sundance, WY 82729-0517 · (307) 283-3501
Phone(307) 283-3501
Sole ProprietorNo
Enumeration DateAugust 2, 2011
Last NPPES UpdateDecember 20, 2018
✔ NPI 1033497425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Licenses✔ Licensed in WY · 211✔ Licensed in SD · 0410
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
713 W OAK STREET, Sundance, WY 82729
Open in Google Maps ↗

Other Names 1

Former Name (1)Lacey Burrell Ms, Rd, Ln

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Blue Cross Blue Shield of Wyoming, Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lacey Waddell Ms, Rd, Ld is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Lacey Waddell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Monument Health Network, Inc.
25 mi
Family Medicine
717 PINE STREET
Upton, WY 82730
  • Reassigned Medicare billing, Wyoming and South Dakota enrollments
  • Also billed through NPI 1174569347 (South Dakota)
  • 9 clinicians in this Medicare group
NPI 1629457643 (307) 468-2302

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

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 Waddell's NPI number?

The NPI number for Lacey Waddell is 1033497425. It was assigned to this individual provider in the NPPES registry on August 2, 2011. The provider is also known as Lacey Burrell Ms, Rd, Ln.

Where is Lacey Waddell located?

Lacey Waddell practices at 713 W Oak Street, Sundance, WY 82729. The listed phone number is (307) 283-3501.

What is Lacey Waddell's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Lacey Waddell enrolled in Medicare?

Yes. Lacey Waddell is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lacey Waddell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lacey Waddell reassigns Medicare benefits to Monument Health Network, Inc. (Upton, WY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lacey Waddell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lacey Waddell accept?

Health plans from Avera Health Plans, Blue Cross Blue Shield of Wyoming, Oscar Insurance Company and Sanford Health Plan list Lacey Waddell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lacey Waddell was last updated on December 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.