Individual provider Active NPI

Lacey Elizabeth Carter, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Lucedale, MS
National Provider Identifier
1043002199
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
907423 Issued in MS
Practice address
124 Summer St Ste D
Lucedale, MS 39452-5918
Phone
(601) 530-5317
NPI assigned
May 22, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 907423 MS Primary

Addresses

Primary practice location

124 Summer St Ste D
Lucedale, MS 39452-5918

Mailing address

124 Summer St Ste D
Lucedale, MS 39452-5918
Phone (601) 530-5317

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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

Enrollment IDStateProvider typePAC IDDetails
I20250930004029 MS Practitioner - Nurse Practitioner 6204332133 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mind Works Wellness, PLLCGroup PAC ID 6305237504, 4 clinicians

Practice addresses (Care Compare)

553 Cowart St
Suite 1
Lucedale, MS 39452-6032
Phone (601) 530-5287

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mind Works Wellness, PLLC Psychiatric/Mental Health CurrentSince Aug 1, 2025 Accepting new patients

Locations

2012 Highway 90
Ste 12
Gautier, MS 39553
Phone (601) 530-5317

553 Cowart St
Ste 1
Lucedale, MS 39452
Phone (601) 530-5287

124 Summer St
Ste D
Lucedale, MS 39452
Phone (228) 806-7010

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1747872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1043002199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 SUMMER ST STE D",
            "city": "LUCEDALE",
            "state": "MS",
            "postal_code": "394525918",
            "telephone_number": "601-530-5317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 SUMMER ST STE D",
            "city": "LUCEDALE",
            "state": "MS",
            "postal_code": "394525918",
            "telephone_number": "601-530-5317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "LACEY",
        "middle_name": "ELIZABETH",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-22",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "907423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lucedale, MS

Sources for this page

Verify at the official NPI Registry.