Lacy Enneking, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

71012830A Issued in IN

Practice address

124 Cross County PLZ
Batesville, IN 47006-8833

Phone

(812) 539-2900

NPI assigned

Oct 6, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH, IN2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wellness DocsGroup PAC ID 1254758592, 8 clinicians

Elite Physical Medicine and Rehabilitation LLCGroup PAC ID 5092135962, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Margaret Mary Community Hospital Inc Hospital, Batesville, IN, CCN 151329

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HIHDDD/Endpoint/HIHDDD
• FHIR API: https://fhir4.healow.com/fhir/r4/IHDADD/Endpoint/IHDADD
• FHIR API: https://fhir-myrecord.cerner.com/r4/0d93d980-a159-4c3e-9a19-131175682196/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Elite Physical Medicine and Rehabilitation LLC

  • Interventional Pain Medicine Physician
  • Lawrenceburg, IN
  • NPI 1356968234

  IN, Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Wellness Docs

  • Physical Medicine & Rehabilitation Physician
  • Cincinnati, OH
  • NPI 1033729496

  OH

  Medicare reassignment Care Compare group
• CG Medical Associates Inc

  • Urgent Care Clinic/Center
  • Cincinnati, OH
  • NPI 1982903951

  OH

  Medicare reassignment NPD
• Elite Physical Medicine and Rehabilitation LLC

  • Interventional Pain Medicine Physician
  • Batesville, IN
  • NPI 1578210233

  Nurse Practitioner

  Care Compare group NPD
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Margaret Mary Community Hospital Inc

  • Critical Access Hospital
  • Batesville, IN
  • NPI 1558368449

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1633478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1003578170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W EADS PKWY STE 320",
            "city": "LAWRENCEBURG",
            "state": "IN",
            "postal_code": "470251374",
            "telephone_number": "812-539-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 CROSS COUNTY PLZ",
            "city": "BATESVILLE",
            "state": "IN",
            "postal_code": "470068833",
            "telephone_number": "812-539-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENNEKING",
        "first_name": "LACY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-06",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0030198",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71012830A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Einhaus, BCBA
• Kayla Ann Einhaus, CCC-SLP
• Shelly Eisert, FNP
• Elite Physical Medicine and Rehabilitation LLC
• Katherine M Enneking, MPT
• Matthew Leon Enneking, D.C.
• Kelli Ertel
• Ew Hanson, LLC
• Samantha Michelle Ewing, RD
• Vickie Lee Fallis, COTA

• All providers in Batesville, IN
• Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.