ALYSSA JEAN LACEY FNP
NPI 1285385641
Nurse Practitioner - Family in Plattsburgh, NY

Active since January 17, 2022PECOS Enrolled
87 PLAZA BLVD, PLATTSBURGH, NY 12901(518) 536-7060(518) 536-7075 Get Directions Write a Review

NPPES record last updated: May 11, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 11, 2026, Mar 7, 2026, Jan 17, 2022 (3 updates tracked since 2022).

About Alyssa Jean Lacey Fnp NPPES

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

ALYSSA JEAN LACEY FNP (NPI 1285385641) is an individual family provider in Plattsburgh, New York, licensed in New York (349070) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285385641
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameALYSSA JEAN LACEYCredential: FNP
Location Address87 PLAZA BLVDPlattsburgh, NY 12901-6438
Mailing Address9 Carey RdQueensbury, NY 12804-7880 · (518) 761-0300
Fax(518) 536-7075
Sole ProprietorNo
Enumeration DateJanuary 17, 2022
Last NPPES UpdateMay 11, 20263 updates tracked since enumeration
NPPES CertifiedMay 11, 2026
NPI 1285385641 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 NY · 349070
87 PLAZA BLVD, Plattsburgh, NY 12901

Other Names 1

Former Name (1)Alyssa Jean Shambo

Other Identifiers 1

Medicaid07097010NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Alyssa Jean Lacey Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
14 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12901 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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 17

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

Social Worker (Clinical)
87 PLAZA BLVD
PLATTSBURGH, NY 12901
Nurse Practitioner (Family)
87 PLAZA BLVD
PLATTSBURGH, NY 12901
Clinic/Center (Primary Care)
87 PLAZA BLVD
PLATTSBURGH, NY 12901
Nurse Practitioner (Family)
87 PLAZA BLVD
PLATTSBURGH, NY 12901
Nurse Practitioner (Family)
87 PLAZA BLVD
PLATTSBURGH, NY 12901
Nurse Practitioner (Family)
87 PLAZA BLVD
PLATTSBURGH, NY 12901
Dietitian, Registered
87 PLAZA BLVD
PLATTSBURGH, NY 12901
Pharmacist
87 PLAZA BLVD
PLATTSBURGH, NY 12901

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285385641, enumerated as an "individual" on January 17, 2022.

The provider is located at 87 PLAZA BLVD PLATTSBURGH, NY 12901 and the phone number is (518) 536-7060.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.