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LACEY KAY GORDON APRN
NPI 1033951595
Nurse Practitioner - Family in Ogden, UT

Active since June 06, 2024PECOS EnrolledAccepts Medicare Assignment
1355 W 3400 S, OGDEN, UT 84401(801) 387-6150(801) 399-2572 Get Directions Write a Review

NPPES record last updated: August 8, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 8, 2024, Jun 6, 2024 (2 updates tracked since 2024).

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

NPI1033951595
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLACEY KAY GORDONCredential: APRN
Location Address1355 W 3400 SOgden, UT 84401-3376
Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128
Phone(801) 387-6150
Fax(801) 399-2572
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJune 6, 2024
Last NPPES UpdateAugust 8, 20242 updates tracked since enumeration
NPPES CertifiedAugust 8, 2024
✔ NPI 1033951595 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 UT · 9139307-4405
1355 W 3400 S, Ogden, UT 84401
Open in Google Maps ↗

Secondary Practice Location 1

Location 14401 Harrison BlvdOgden, UT 84403-3195 · Phone (801) 387-6150

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.Insurance ›

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 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.

PECOS PAC ID2062950371
PECOS Enrollment IDI20240819000806
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.

Mckay-Dee Hospital

Acute Care Hospitals · Ogden, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460004
Location4401 Harrison BoulevardOgden, UT 84403 · Weber County
Emergency services Birthing friendly

Physician 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.

New Patient
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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

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

MCKEL ANNE ROSKELLEY
Physician Assistant
1355 W 3400 S
OGDEN, UT 84401
Weber County (801) 387-6150

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.

What insurance does Lacey Gordon accept?

Health plans from Select Health list Lacey Gordon 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.

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 with the weekly NPPES data releases published by CMS.