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MRS. LACEY SHAYANN WYATT A.P.N.
NPI 1649358847
Nurse Practitioner in Paragould, AR

Active since November 02, 2006PECOS EnrolledAccepts Medicare Assignment
1707 LINWOOD DR STE A, PARAGOULD, AR 72450(870) 236-2202 Get Directions Write a Review

NPPES record last updated: June 15, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Lacey Shayann Wyatt A.p.n. NPPES

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

MRS. LACEY SHAYANN WYATT A.P.N. (NPI 1649358847) is an individual nurse practitioner in Paragould, Arkansas, licensed in Arkansas (A01865) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Southaven, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1649358847
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. LACEY SHAYANN WYATTCredential: A.P.N.
Location Address1707 LINWOOD DR STE AParagould, AR 72450
Mailing Address1707 Linwood Dr Ste AParagould, AR 72450-5365 · (870) 236-2202
Phone(870) 236-2202
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateNovember 2, 2006
Last NPPES UpdateJune 15, 2018
✔ NPI 1649358847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in AR · A01865
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License APN0000014041 (TN)
1707 LINWOOD DR STE A, Paragould, AR 72450
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Secondary Practice Location 1

Location 175 Physicians LnSouthaven, MS 38671-6102 · Phone (662) 393-7722 · Fax (662) 393-7756

Other Identifiers 3

Medicaid160259758AR
Other3345732TN · Medicare-tn
Medicaid1514445TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.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

Mrs. Lacey Shayann Wyatt A.p.n. 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.

PECOS PAC ID244253995
PECOS Enrollment IDI20060109000301
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.

Areas of Expertise CMS Part B claims 3

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
34 services34 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
32 services28 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
19 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72450 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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

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

LACEY JO SONGER APRN
Nurse Practitioner
1707 LINWOOD DR STE A
PARAGOULD, AR 72450
Greene County (870) 236-2202

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 Lacey Wyatt's NPI number?

The NPI number for Lacey Wyatt is 1649358847. It was assigned to this individual provider in the NPPES registry on November 2, 2006.

Where is Lacey Wyatt located?

Lacey Wyatt practices at 1707 Linwood Dr Ste A, Paragould, AR 72450. The listed phone number is (870) 236-2202.

What is Lacey Wyatt's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Lacey Wyatt enrolled in Medicare?

Yes. Lacey Wyatt 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 Lacey Wyatt accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 5 other insurers list Lacey Wyatt 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 Lacey Wyatt was last updated on June 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.