LACY ROSE WAGNER PA
NPI 1508537507
Physician Assistant in Boise, ID
About Lacy Rose Wagner Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LACY ROSE WAGNER PA (NPI 1508537507) is an individual physician assistant in Boise, Idaho, licensed in Idaho (PA-2169) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS, is affiliated with Saint Alphonsus Regional Medical Center, and maintains a secondary practice location in Meridian.
NPPES Registry Identity
Specialties & Licenses
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Secondary Practice Location 1
Accepted 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
Lacy Rose Wagner Pa 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.
Areas of Expertise CMS Part B claims 2
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Saint Alphonsus Regional Medical Center
Acute Care Hospitals · Boise, IDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 83704 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BOISE, ID 83704
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 Wagner's NPI number?
The NPI number for Lacy Wagner is 1508537507. It was assigned to this individual provider in the NPPES registry on September 21, 2021.
Where is Lacy Wagner located?
Lacy Wagner practices at 6051 W Emerald St, Boise, ID 83704. The listed phone number is (208) 302-5150.
What is Lacy Wagner's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Lacy Wagner enrolled in Medicare?
Yes. Lacy Wagner 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 Lacy Wagner accept?
Health plans from Providence Health Plan list Lacy Wagner 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 Wagner affiliated with any hospitals?
According to CMS data, Lacy Wagner is affiliated with Saint Alphonsus Regional Medical Center.
When was this NPI record last updated?
The NPPES record for Lacy Wagner was last updated on January 26, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.
