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LACY J WILSON FNP-C
NPI 1568111482
Nurse Practitioner - Family in Lancaster, OH

Active since March 18, 2022PECOS Enrolled
1941 W FAIR AVE, LANCASTER, OH 43130(740) 689-3627 Get Directions Write a Review

NPPES record last updated: March 31, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lacy J Wilson Fnp-c NPPES

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

LACY J WILSON FNP-C (NPI 1568111482) is an individual family provider in Lancaster, Ohio, licensed in Ohio (APRN.CNP.0031059) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568111482
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLACY J WILSONCredential: FNP-C
Location Address1941 W FAIR AVELancaster, OH 43130-9671
Mailing Address125 S Cherry StLancaster, OH 43130-4013 · (740) 208-3374
Phone(740) 689-3627
Sole ProprietorNo
Enumeration DateMarch 18, 2022
Last NPPES UpdateMarch 31, 2022
NPPES CertifiedMarch 31, 2022
✔ NPI 1568111482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OH · APRN.CNP.0031059
Also ListedRegistered NurseTaxonomy 163W00000X · License 389444 (OH)
1941 W FAIR AVE, Lancaster, OH 43130
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Ohio, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lacy J Wilson Fnp-c 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.

Medicare Billing Reassignment

Medicare enrollment records show Lacy Wilson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Arbor View Family Medicine, Inc.
Same address
Preferred Provider Organization
1941 W FAIR AVE
Lancaster, OH 43130
  • Reassigned Medicare billing, Ohio enrollment
  • 7 clinicians in this Medicare group
NPI 1285765008 (740) 689-3627

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43130 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 3

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

ARBOR VIEW FAMILY MEDICINE, INC.
Preferred Provider Organization
1941 W FAIR AVE
LANCASTER, OH 43130
Fairfield County (740) 689-3627
JENNIFER STOLFER PA
Physician Assistant (Medical)
1941 W FAIR AVE
LANCASTER, OH 43130
Fairfield County (740) 689-3627
MEGAN EVANS CNP
Family Medicine
1941 W FAIR AVE
LANCASTER, OH 43130
Fairfield County (740) 689-3627

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 Wilson's NPI number?

The NPI number for Lacy Wilson is 1568111482. It was assigned to this individual provider in the NPPES registry on March 18, 2022.

Where is Lacy Wilson located?

Lacy Wilson practices at 1941 W Fair Ave, Lancaster, OH 43130. The listed phone number is (740) 689-3627.

What is Lacy Wilson's specialty?

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

Is Lacy Wilson enrolled in Medicare?

Yes. Lacy Wilson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lacy Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lacy Wilson reassigns Medicare benefits to Arbor View Family Medicine, Inc. (Lancaster, OH). The 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 Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lacy Wilson accept?

Health plans from Antidote Health Plan of Ohio, Inc. list Lacy Wilson 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.

When was this NPI record last updated?

The NPPES record for Lacy Wilson was last updated on March 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.