Individual provider Active NPI

Lacie Gregory, MD

  • Family Medicine Physician
  • Wellington, KS
National Provider Identifier
1124223649
Registry record updated May 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
046718 Issued in KS
Practice address
507 E 16TH St Ste 1
Wellington, KS 67152-2828
Phone
(620) 326-3301
NPI assigned
Jun 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 046718 KS Primary

Addresses

Primary practice location

507 E 16TH St Ste 1
Wellington, KS 67152-2828

Mailing address

507 E 16TH St Ste 1
Wellington, KS 67152-2828
Phone (620) 326-3301

Other identifiers 6

IdentifierTypeStateIssuer
1124223649MedicaidKS
1255500633OtherNON RHC NPI
12132729OtherCAQH
04-33377OtherKSKANSAS LICENSE
1124223649OtherBCBS OF KANSAS
1437283991OtherBCBS GROUP NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081205000807 KS Practitioner - Family Practice 0244391456 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kansas School of Med (KC/Wich/Sal), 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ascension Medical Group Via Christi PA 184 clinicians
Sumner County Family Care Center PA 8 clinicians

Practice addresses (Care Compare)

507 E 16TH St
Suite 1
Wellington, KS 67152-2828
Phone (620) 326-3301

Hospital & facility affiliations

  • Angels Care Home Health Home health agency, Chanute, KS, CCN 178060
  • Interim Healthcare of Wichita Home health agency, Wichita, KS, CCN 177090
  • Ascension Via Christi Hospitals Wichita, Inc. Hospital, Wichita, KS, CCN 170122
  • William Newton Hospital Hospital, Winfield, KS, CCN 171383

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
046718KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Medical Group Via Christi, PA CurrentSince Oct 1, 2020 Accepting new patients
Ascension Medical Group Via Christi, PA CurrentSince Oct 1, 2020 Accepting new patients
Ascension Medical Group Via Christi, PA Past Accepting new patients

Locations

102 E Main St
Mulvane, KS 67110
Phone (316) 777-0106

507 E 16th St
Ste 1
Wellington, KS 67152
Phone (620) 326-2865

3311 E Murdock St
Wichita, KS 67208
Phone (316) 689-9107

Interoperability endpoints

  • Direct secure messaging: lacie.gregory@khindirect.org

Organizations & group practices 4

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588896000000",
    "number": "1124223649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 E 16TH ST STE 1",
            "city": "WELLINGTON",
            "state": "KS",
            "postal_code": "671522828",
            "telephone_number": "620-326-3301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 E 16TH ST STE 1",
            "city": "WELLINGTON",
            "state": "KS",
            "postal_code": "671522828",
            "telephone_number": "620-326-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGORY",
        "first_name": "LACIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-15",
        "last_updated": "2020-05-08",
        "certification_date": "2020-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "046718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124223649",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NON RHC NPI",
            "identifier": "1255500633",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12132729",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KANSAS LICENSE",
            "identifier": "04-33377",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KANSAS",
            "identifier": "1124223649",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NPI",
            "identifier": "1437283991",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, KS

Sources for this page

Verify at the official NPI Registry.