DR. JOHN WALTER LACE PHD
NPI 1528705050
Psychologist - Clinical in Holmen, WI
About Dr. John Walter Lace Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JOHN WALTER LACE PHD (NPI 1528705050) is an individual clinical provider in Holmen, Wisconsin, licensed in Wisconsin (5000-57) and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS, is affiliated with St Lukes Hospital, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 4
Secondary Practice Locations 2
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
Dr. John Walter Lace Phd 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 5
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 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Lukes Hospital
Acute Care Hospitals · Cedar Rapids, IAMayo Clinic Health System-Franciscan Medical Center Inc
Acute Care Hospitals · La Crosse, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 54636 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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 John Lace's NPI number?
The NPI number for John Lace is 1528705050. It was assigned to this individual provider in the NPPES registry on May 17, 2022.
Where is John Lace located?
John Lace practices at 1303 Main Street S, Holmen, WI 54636. The listed phone number is (608) 785-0940.
What is John Lace's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is John Lace enrolled in Medicare?
Yes. John Lace 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 John Lace accept?
Health plans from Medica list John Lace 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 John Lace affiliated with any hospitals?
According to CMS data, John Lace is affiliated with St Lukes Hospital and Mayo Clinic Health System-Franciscan Medical Center Inc.
When was this NPI record last updated?
The NPPES record for John Lace was last updated on December 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Dr. John Walter Lace, PHD · NPI 1528705050
Clinical provider in Holmen, Wisconsin. Individual provider, active in the CMS NPPES registry since May 17, 2022.
## Identity
- **NPI:** 1528705050 (Entity type: Individual)
- **Enumerated:** May 17, 2022
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** 5000-57 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 1303 MAIN STREET S, Holmen, WI 54636-8927
- **Phone:** (608) 785-0940
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** December 23, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1528705050) · Data from the CMS NPPES public registry.