LACEY KAY WILSON DNP
NPI 1720455660
Nurse Practitioner in Scottsdale, AZ

Q: What is Lacey Wilson's NPI number?

The NPI number for Lacey Wilson is 1720455660. It was assigned to this individual provider in the NPPES registry on August 26, 2015.

Q: What is Lacey Wilson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lacey Wilson was last updated on October 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.

Active since August 26, 2015PECOS Enrolled

71.93/100

CMS Quality Rating

13400 E SHEA BLVD, SCOTTSDALE, AZ 85259(480) 301-8000 Get Directions Write a Review

NPPES record last updated: October 29, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 1, 2024, Feb 21, 2019 (2 updates tracked since 2019).

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About Lacey Kay Wilson Dnp NPPES

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

LACEY KAY WILSON DNP (NPI 1720455660) is an individual nurse practitioner in Scottsdale, Arizona, licensed in Arizona (312886) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Pendleton.

NPPES Registry Identity

NPI1720455660

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameLACEY KAY WILSONCredential: DNP

Location Address13400 E SHEA BLVDScottsdale, AZ 85259-5499

Mailing Address13400 E Shea BlvdScottsdale, AZ 85259-5499 · (480) 301-8000

Phone(480) 301-8000

Sole ProprietorNo

Enumeration DateAugust 26, 2015

Last NPPES UpdateOctober 29, 20242 updates tracked since enumeration

NPPES CertifiedOctober 29, 2024

✔ NPI 1720455660 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 AZ · 312886

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 201506113NPPP (OR)

13400 E SHEA BLVD, Scottsdale, AZ 85259

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Secondary Practice Location 1

Location 13001 St Anthony WayPendleton, OR 97801 · Phone (541) 966-0535 · Fax (541) 278-4597

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Providence Health Plan.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)

Lacey Kay Wilson Dnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85259 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

71.93/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

90.53

Promoting Interoperability

100

Improvement Activities

Cost

Other Providers at the Same Location NPPES 20

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

AMITKUMAR MEHTA MD

Internal Medicine (Hematology & Oncology)