LACEY KAY GORDON APRN
NPI 1033951595
Nurse Practitioner - Family in Ogden, UT
About Lacey Kay Gordon Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LACEY KAY GORDON APRN (NPI 1033951595) is an individual family provider in Ogden, Utah, licensed in Utah (9139307-4405) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS, is affiliated with Mckay-dee Hospital, and maintains a secondary practice location in Ogden.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Lacey Kay Gordon Aprn 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.
Medicare Billing Reassignments
2Medicare enrollment records show Lacey Gordon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
North Ogden, UT 84414
- Reassigned Medicare billing, Utah enrollment
- 3,691 clinicians in this Medicare group
Salt Lake City, UT 84107
- Reassigned Medicare billing, Utah enrollment
- 182 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mckay-Dee Hospital
Acute Care Hospitals · Ogden, UTPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 84401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Gordon's NPI number?
The NPI number for Lacey Gordon is 1033951595. It was assigned to this individual provider in the NPPES registry on June 6, 2024.
Where is Lacey Gordon located?
Lacey Gordon practices at 1355 W 3400 S, Ogden, UT 84401. The listed phone number is (801) 387-6150.
What is Lacey Gordon's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Lacey Gordon enrolled in Medicare?
Yes. Lacey Gordon 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.
Which organizations bill Medicare for Lacey Gordon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lacey Gordon reassigns Medicare benefits to 2 organizations: Ihc Health Services Inc (North Ogden, UT) and Utah Emergency Physicians (Salt Lake City, UT). Each 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 Gordon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Lacey Gordon affiliated with any hospitals?
According to CMS data, Lacey Gordon is affiliated with Mckay-Dee Hospital.
When was this NPI record last updated?
The NPPES record for Lacey Gordon was last updated on August 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Lacey Kay Gordon, APRN · NPI 1033951595
Family physician in Ogden, Utah. Individual provider, active in the CMS NPPES registry since June 6, 2024.
## Identity
- **NPI:** 1033951595 (Entity type: Individual)
- **Enumerated:** June 6, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 9139307-4405 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 1355 W 3400 S, Ogden, UT 84401-3376
- **Phone:** (801) 387-6150 · **Fax:** (801) 399-2572
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Ihc Health Services Inc (NPI 1033240460, North Ogden, UT); Utah Emergency Physicians (NPI 1588048979, Salt Lake City, UT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** August 8, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1033951595) · Data from the CMS NPPES public registry.