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

Q: What is Alyssa Lacey's NPI number?

The NPI number for Alyssa Lacey is 1285385641. It was assigned to this individual provider in the NPPES registry on January 17, 2022. The provider is also known as Alyssa Jean Shambo.

Q: What is Alyssa Lacey's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Alyssa Lacey was last updated on May 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

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: August 16, 2026.

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

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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

Phone(518) 536-7060

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

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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 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.

ERIC M DECELLE LCSW

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