MRS. LACI JO VANDERBOEGH MSN, FNP-C
NPI 1629824032
Nurse Practitioner - Family in Wilson, NC
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Laci Jo Vanderboegh Msn, Fnp-c 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.
Medicare Billing Reassignments
2Medicare enrollment records show Laci Vanderboegh reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Wilson, NC 27893
- Reassigned Medicare billing, North Carolina enrollment
- 71 clinicians in this Medicare group
Jacksonville, FL 32256
- Reassigned Medicare billing, Florida enrollment
- 45 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Baptist Hospital
Acute Care Hospitals · Pensacola, FLPhysician 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.
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.
WILSON, NC 27893
WILSON, NC 27893
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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Laci Vanderboegh's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Laci Vanderboegh reassigns Medicare benefits to 2 organizations: Dlp Wilson Physician Practices LLC (Wilson, NC) and Ibrahim Heart Clinic PLLC (Jacksonville, FL). Each 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 Laci Vanderboegh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
When was this NPI record last updated?
The NPPES record for Laci Vanderboegh was last updated on April 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Mrs. Laci Jo Vanderboegh, MSN, FNP-C · NPI 1629824032
Family physician in Wilson, North Carolina. Individual provider, active in the CMS NPPES registry since April 26, 2024.
## Identity
- **NPI:** 1629824032 (Entity type: Individual)
- **Enumerated:** April 26, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 5019962 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 1700 TARBORO ST W STE 100, Wilson, NC 27893-3481
- **Phone:** (252) 399-5314
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Dlp Wilson Physician Practices LLC (NPI 1437834058, Wilson, NC); Ibrahim Heart Clinic PLLC (NPI 1629511035, Jacksonville, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** April 26, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1629824032) · Data from the CMS NPPES public registry.