Amber Jane Lacina, BSN, RN, MSN, APMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

G-123916 Issued in IA

Practice address

111 10TH St SW
Waverly, IA 50677-2925

Phone

(319) 352-1353

Fax

(319) 352-2329

NPI assigned

Apr 26, 2010

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IA

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 1

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor on Science - Nursing, Master of Science - Nursing, Registered Nurse

State licenses

Practice roles

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.

• North Iowa Juvenile Detention Services

  • Mental Illness Community Based Residential Treatment Facility
  • Waterloo, IA
  • NPI 1174976757
  NPD (past) Authorized official
• Black Hawk-Grundy Mental Health Center Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Waterloo, IA
  • NPI 1316944598
  NPD (past)
• Floyd County Memorial Hospital Commission

  • Critical Access Hospital
  • Charles City, IA
  • NPI 1265402390
  NPD (past)

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

{
    "created_epoch": "1272240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451347200000",
    "number": "1033436480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 10TH ST SW",
            "city": "WAVERLY",
            "state": "IA",
            "postal_code": "506772925",
            "telephone_number": "319-352-1353",
            "fax_number": "319-352-2329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 10TH ST SW",
            "city": "WAVERLY",
            "state": "IA",
            "postal_code": "506772925",
            "telephone_number": "319-352-1353",
            "fax_number": "319-352-2329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACINA",
        "first_name": "AMBER",
        "middle_name": "JANE",
        "name_prefix": "Ms.",
        "credential": "BSN, RN, MSN, APMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-26",
        "last_updated": "2015-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "IA",
            "license": "123916",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G-123916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0074435",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steffany Kroeger
• Sarah Ann Krukow, ARNP
• Bailey Krull, MSN, RN
• Katherine A Kubik, RN
• Vicky Kukral, LMHC
• Leasa Marie Lantzky, OTR
• Tiffanie Lapan, DMPNA, CRNA, SRNP
• Danielle N Larson, PHARMD
• Julie Anne Leary, ARNP
• Mackenzie L Lemke

• Psychiatric/Mental Health Nurse Practitioner in Waverly, IA
• Providers in Waverly, IA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2015; 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.