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LACY D. RUSSELL APRN
NPI 1275001869
Nurse Practitioner - Family in Salyersville, KY

Active since November 13, 2018PECOS EnrolledAccepts Medicare Assignment
940 PARKWAY DR, SALYERSVILLE, KY 41465(606) 349-5126(888) 338-9735 Get Directions Write a Review

NPPES record last updated: August 25, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 25, 2026, Aug 12, 2026, Mar 29, 2023 and 1 more (4 updates tracked since 2018).

About Lacy D. Russell Aprn NPPES

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

LACY D. RUSSELL APRN (NPI 1275001869) is an individual family provider in Salyersville, Kentucky, licensed in Kentucky (3012873) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS, is affiliated with Highlands Arh Regional Medical Center, and maintains 7 additional practice locations.

NPPES Registry Identity

NPI1275001869
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLACY D. RUSSELLCredential: APRN
Location Address940 PARKWAY DRSalyersville, KY 41465-9251
Mailing Address1709 Ky Route 321 Ste 3Prestonsburg, KY 41653-9097 · (606) 886-8546 · Fax (606) 886-8548
Phone(606) 349-5126
Fax(888) 338-9735
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateNovember 13, 2018
Last NPPES UpdateAugust 25, 20264 updates tracked since enumeration
NPPES CertifiedAugust 25, 2026
✔ NPI 1275001869 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 KY · 3012873
940 PARKWAY DR, Salyersville, KY 41465
Open in Google Maps ↗

Secondary Practice Locations 7

Location 1268 E Maple StSalyersville, KY 41465-8032 · Phone (606) 349-5300 · Fax (606) 349-5312
Location 27617 Ky Route 979Grethel, KY 41631-6304 · Phone (606) 587-2200 · Fax (855) 217-1130
Location 31709 Ky Route 321 Ste 3Prestonsburg, KY 41653-9097 · Phone (606) 886-8546 ext. 1141 · Fax (606) 886-8548
Location 4246 Ky Route 979Harold, KY 41635-9046 · Phone (606) 478-2200 · Fax (866) 310-9947
Location 523 Willow DrAuxier, KY 41602-9259 · Phone (606) 886-8997 · Fax (877) 882-7310
Location 66500 Highway 645 Ste 110Inez, KY 41224-9181 · Phone (606) 298-3412 · Fax (844) 858-8954
Location 7450 S Mayo TrlPaintsville, KY 41240-1220 · Phone (606) 887-6145 · Fax (844) 464-1174

Other Identifiers 1

Medicaid7100600540KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

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

Lacy D. Russell 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 ID1355684846
PECOS Enrollment IDI20190524001850
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Lacy Russell reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Big Sandy Health Care Inc
Same address
Federally Qualified Health Center (FQHC)
940 PARKWAY DR
Salyersville, KY 41465
  • Reassigned Medicare billing, Kentucky enrollment
  • Also billed through NPI 1922594506 (Kentucky), NPI 1326729773 (Kentucky)
  • 70 clinicians in this Medicare group
NPI 1326080110 (606) 349-5126
Salyersville Medical Center, LLC
0.8 mi
Rural Health
268 E MAPLE ST
Salyersville, KY 41465
  • Reassigned Medicare billing, Kentucky enrollment
  • 14 clinicians in this Medicare group
NPI 1215984711 (606) 349-5300
Aaron K. Jonan Memorial Clinic Inc.
22 mi
Rural Health
832 HIGHWAY 15 N
Jackson, KY 41339
  • Reassigned Medicare billing, Kentucky enrollment
  • 14 clinicians in this Medicare group
NPI 1477569226 (606) 666-5142

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.

Highlands Arh Regional Medical Center

Acute Care Hospitals · Prestonsburg, KY
2/5 CMS rating
OwnershipProprietary
CMS Certification Number180005
Location5000 Kentucky Route 321Prestonsburg, KY 41653 · Floyd County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41465 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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 8

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

HEATHER BLAIR APRN
Nurse Practitioner (Family)
940 PARKWAY DR
SALYERSVILLE, KY 41465
Magoffin County (606) 298-3412
EMILY MCCORMICK DMD
Dentist
940 PARKWAY DR
SALYERSVILLE, KY 41465
Magoffin County (606) 349-5126
BIG SANDY HEALTH CARE INC
Pharmacy (Clinic Pharmacy)
940 PARKWAY DR
SALYERSVILLE, KY 41465
Magoffin County (606) 349-5126
BIG SANDY HEALTH CARE INC
Clinic/Center (Federally Qualified Health Center (FQHC))
940 PARKWAY DR
SALYERSVILLE, KY 41465
Magoffin County (606) 349-5126
DR. MOHAMMAD Y MANNAN M.D.
Internal Medicine
940 PARKWAY DR
SALYERSVILLE, KY 41465
Magoffin County (606) 298-3412
MS. MILDRED P SIZEMORE APRN, FNP
Nurse Practitioner (Family)
940 PARKWAY DR
SALYERSVILLE, KY 41465
Magoffin County (606) 349-5126
MICHELE WATKINS LPCC
Counselor (Professional)
940 PARKWAY DR
SALYERSVILLE, KY 41465
Magoffin County (606) 298-3412
ALEXIS BRADFORD MILLS LCSW
Social Worker (Clinical)
940 PARKWAY DR
SALYERSVILLE, KY 41465
Magoffin County (606) 349-5126

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 Lacy Russell's NPI number?

The NPI number for Lacy Russell is 1275001869. It was assigned to this individual provider in the NPPES registry on November 13, 2018.

Where is Lacy Russell located?

Lacy Russell practices at 940 Parkway Dr, Salyersville, KY 41465. The listed phone number is (606) 349-5126.

What is Lacy Russell's specialty?

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

Is Lacy Russell enrolled in Medicare?

Yes. Lacy Russell 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 Lacy Russell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lacy Russell reassigns Medicare benefits to 3 organizations: Big Sandy Health Care Inc (Salyersville, KY), Salyersville Medical Center, LLC (Salyersville, KY) and Aaron K. Jonan Memorial Clinic Inc. (Jackson, KY). 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 Lacy Russell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lacy Russell accept?

Health plans from Anthem Blue Cross and Blue Shield list Lacy Russell 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 Lacy Russell affiliated with any hospitals?

According to CMS data, Lacy Russell is affiliated with Highlands Arh Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Lacy Russell was last updated on August 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 60 days 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.