LACEY NICHOLS APRN
NPI 1114887692
Nurse Practitioner - Family in Pittsburg, KS

Active since November 17, 2025PECOS EnrolledAccepts Medicare Assignment
302 E CENTENNIAL DR, PITTSBURG, KS 66762(620) 231-8003 Get Directions Write a Review

NPPES record last updated: November 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lacey Nichols Aprn NPPES

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

LACEY NICHOLS APRN (NPI 1114887692) is an individual family provider in Pittsburg, Kansas, licensed in Kansas (F10251040) and active in the NPI registry since November 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1114887692
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLACEY NICHOLSCredential: APRN
Location Address302 E CENTENNIAL DRPittsburg, KS 66762-6564
Mailing Address1212 Bitner DrPittsburg, KS 66762-6102 · (620) 670-0415
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateNovember 17, 2025
NPPES CertifiedNovember 16, 2025
NPI 1114887692 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 KS · F10251040
302 E CENTENNIAL DR, Pittsburg, KS 66762

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Nichols 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 ID2567931744
PECOS Enrollment IDI20260518000205
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66762 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
$81.98 typical visit price
range $53.00 – $161.67
Typical copayment $20.49 (range $13.25 – $40.41)
Most-billed visit code 99203
Established Patient
$94.12 typical visit price
range $16.88 – $132.11
Typical copayment $23.53 (range $4.22 – $33.02)
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 4

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

Clinic/Center (Urgent Care)
302 E CENTENNIAL DR
PITTSBURG, KS 66762
Nurse Practitioner (Family)
302 E CENTENNIAL DR
PITTSBURG, KS 66762
Family Medicine
302 E CENTENNIAL DR
PITTSBURG, KS 66762
Nurse Practitioner (Family)
302 E CENTENNIAL DR
PITTSBURG, KS 66762

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 Nichols's NPI number?

The NPI number for Lacey Nichols is 1114887692. It was assigned to this individual provider in the NPPES registry on November 17, 2025.

Where is Lacey Nichols located?

Lacey Nichols practices at 302 E Centennial Dr, Pittsburg, KS 66762. The listed phone number is (620) 231-8003.

What is Lacey Nichols's specialty?

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

Is Lacey Nichols enrolled in Medicare?

Yes. Lacey Nichols 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.

When was this NPI record last updated?

The NPPES record for Lacey Nichols was last updated on November 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.