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MRS. LACI JO VANDERBOEGH MSN, FNP-C
NPI 1629824032
Nurse Practitioner - Family in Wilson, NC

Active since April 26, 2024PECOS Enrolled
1700 TARBORO ST W STE 100, WILSON, NC 27893(252) 399-5314 Get Directions Write a Review

NPPES record last updated: April 26, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Laci Jo Vanderboegh Msn, Fnp-c NPPES

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

MRS. LACI JO VANDERBOEGH MSN, FNP-C (NPI 1629824032) is an individual family provider in Wilson, North Carolina, licensed in North Carolina (5019962) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS, is affiliated with Baptist Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1629824032
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. LACI JO VANDERBOEGHCredential: MSN, FNP-C
Location Address1700 TARBORO ST W STE 100Wilson, NC 27893-3481
Mailing Address1103 Greenbriar Rd NwWilson, NC 27896-2146
Phone(252) 399-5314
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateApril 26, 2024
NPPES CertifiedApril 26, 2024
✔ NPI 1629824032 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 NC · 5019962
1700 TARBORO ST W STE 100, Wilson, NC 27893
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Laci Jo Vanderboegh Msn, Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5294278743
PECOS Enrollment IDI20251231000281
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baptist Hospital

Acute Care Hospitals · Pensacola, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100093
Location123 Baptist WayPensacola, FL 32503 · Escambia County
Emergency services Birthing friendly

Wilson Medical Center

Acute Care Hospitals · Wilson, NC
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340126
Location1705 S Tarboro StWilson, NC 27893 · Wilson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27893 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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 5

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

PHILLIP KERRY PERKINS MD
General Practice
1700 TARBORO ST W STE 100
WILSON, NC 27893
Wilson County (252) 399-5314
DLP WILSON PHYSICIAN PRACTICES LLC
Clinic/Center (Rural Health)
1700 TARBORO ST W STE 100
WILSON, NC 27893
Wilson County (252) 399-5314
PATRICIA MARIA MENDOZA FNP-C
Nurse Practitioner (Family)
1700 TARBORO ST W STE 100
WILSON, NC 27893
Wilson County (252) 399-5314
DR. RAMESH MUTYALA M.D.
Internal Medicine
1700 TARBORO ST W STE 100
WILSON, NC 27893
Wilson County (252) 399-5314
CORRIE ELIZABETH HANSEN DNP, FNP-BC
Nurse Practitioner (Primary Care)
1700 TARBORO ST W STE 100
WILSON, NC 27893
Wilson County (252) 399-5314

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 Laci Vanderboegh's NPI number?

The NPI number for Laci Vanderboegh is 1629824032. It was assigned to this individual provider in the NPPES registry on April 26, 2024.

Where is Laci Vanderboegh located?

Laci Vanderboegh practices at 1700 Tarboro St W Ste 100, Wilson, NC 27893. The listed phone number is (252) 399-5314.

What is Laci Vanderboegh's specialty?

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

Is Laci Vanderboegh enrolled in Medicare?

Yes. Laci Vanderboegh is registered in the Medicare PECOS enrollment system.

What insurance does Laci Vanderboegh accept?

Health plans from Blue Cross and Blue Shield of NC list Laci Vanderboegh 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 Laci Vanderboegh affiliated with any hospitals?

According to CMS data, Laci Vanderboegh is affiliated with Baptist Hospital and Wilson Medical Center.

When was this NPI record last updated?

The NPPES record for Laci Vanderboegh was last updated on April 26, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.