LACY TAYLOR
NPI 1790162717
Nurse Practitioner - Family in Platteville, WI

Active since April 28, 2015PECOS EnrolledAccepts Medicare Assignment
1450 EASTSIDE RD, PLATTEVILLE, WI 53818(608) 348-2331 Get Directions Write a Review

NPPES record last updated: May 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 6, 2026, Jul 21, 2022, Nov 20, 2020 and 2 more (5 updates tracked since 2017).

About Lacy Taylor NPPES

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

LACY TAYLOR (NPI 1790162717) is an individual family provider in Platteville, Wisconsin, licensed in Wisconsin (14266-33) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Worcester, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1790162717
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLACY TAYLOR
Location Address1450 EASTSIDE RDPlatteville, WI 53818-9800
Mailing Address1450 Eastside RdPlatteville, WI 53818-9800 · (608) 348-2331
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 28, 2015
Last NPPES UpdateMay 6, 20265 updates tracked since enumeration
NPPES CertifiedMay 6, 2026
NPI 1790162717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in WI · 14266-33
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 6483-125 (WI)
1450 EASTSIDE RD, Platteville, WI 53818

Secondary Practice Location 1

Location 1411 Chandler StWorcester, MA 01602-3339 · Phone (774) 243-7486

Accepted 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

Lacy Taylor 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 ID1254781529
PECOS Enrollment IDI20231228002383
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 53818 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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 20

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

Nurse Practitioner (Primary Care)
1450 EASTSIDE RD
PLATTEVILLE, WI 53818
Optometrist
1450 EASTSIDE RD
PLATTEVILLE, WI 53818
Obstetrics & Gynecology
1450 EASTSIDE RD, STE 110
PLATTEVILLE, WI 53818
Optometrist
1450 EASTSIDE RD
PLATTEVILLE, WI 53818
Pharmacy (Community/Retail Pharmacy)
1450 EASTSIDE RD
PLATTEVILLE, WI 53818
Family Medicine
1450 EASTSIDE RD
PLATTEVILLE, WI 53818
Optometrist
1450 EASTSIDE RD
PLATTEVILLE, WI 53818
Nurse Practitioner (Family)
1450 EASTSIDE RD
PLATTEVILLE, WI 53818

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 Lacy Taylor's NPI number?

The NPI number for Lacy Taylor is 1790162717. It was assigned to this individual provider in the NPPES registry on April 28, 2015.

Where is Lacy Taylor located?

Lacy Taylor practices at 1450 Eastside Rd, Platteville, WI 53818. The listed phone number is (608) 348-2331.

What is Lacy Taylor's specialty?

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

Is Lacy Taylor enrolled in Medicare?

Yes. Lacy Taylor 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 Lacy Taylor accept?

Health plans from Anthem Blue Cross and Blue Shield, Group Health Cooperative-SCW, Medica and Quartz list Lacy Taylor 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 Lacy Taylor was last updated on May 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.