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DR. LACEY EBERT D.C.
NPI 1649673518
Chiropractor in Williston, FL

Active since October 06, 2014Accepts Medicare Assignment
510 SW 5TH TER # B, WILLISTON, FL 32696(352) 528-5433 Get Directions Write a Review

NPPES record last updated: January 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2018, Dec 13, 2017 (2 updates tracked since 2017).

About Dr. Lacey Ebert D.c. NPPES

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

DR. LACEY EBERT D.C. (NPI 1649673518) is an individual chiropractor in Williston, Florida, licensed in Illinois (038.012684) and active in the NPI registry since October 2014. She is a graduate of National College Of Chiropractic (2013).

NPPES Registry Identity

NPI1649673518
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameDR. LACEY EBERTCredential: D.C.
Location Address510 SW 5TH TER # BWilliston, FL 32696-2548
Mailing Address5001 Sw 20th St Apt 7001Ocala, FL 34474-8734 · (630) 747-3521
Phone(352) 528-5433
Sole ProprietorYes
Medical School CMSNational College Of ChiropracticGraduated 2013
Enumeration DateOctober 6, 2014
Last NPPES UpdateJanuary 29, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2025
✔ NPI 1649673518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in IL · 038.012684
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
510 SW 5TH TER # B, Williston, FL 32696
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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. Lacey Ebert D.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.

PECOS PAC ID6406171263
PECOS Enrollment IDI20181221000167

Other Providers at the Same Location NPPES 2

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

DR. RICHARD JOSEPH FONTAINE III D.C,
Chiropractor
510 SW 5TH TER # B
WILLISTON, FL 32696
Levy County (352) 528-5433
MOTION WELLNESS LLC
Chiropractor
510 SW 5TH TER # B
WILLISTON, FL 32696
Levy County (352) 528-5433

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 Ebert's NPI number?

The NPI number for Lacey Ebert is 1649673518. It was assigned to this individual provider in the NPPES registry on October 6, 2014.

Where is Lacey Ebert located?

Lacey Ebert practices at 510 SW 5th Ter # B, Williston, FL 32696. The listed phone number is (352) 528-5433.

What is Lacey Ebert's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Lacey Ebert enrolled in Medicare?

Yes. Lacey Ebert 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.

When was this NPI record last updated?

The NPPES record for Lacey Ebert was last updated on January 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.