Active NPI
Lacie Gregory, MD
- Family Medicine Physician
- Wellington, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 046718
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124223649 | Medicaid | KS | |
| 1255500633 | Other | NON RHC NPI | |
| 12132729 | Other | CAQH | |
| 04-33377 | Other | KS | KANSAS LICENSE |
| 1124223649 | Other | BCBS OF KANSAS | |
| 1437283991 | Other | BCBS 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 PASumner County Family Care Center PA
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
- Interim Healthcare of Wichita
- Ascension Via Christi Hospitals Wichita, Inc.
- William Newton Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046718 | KS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascension Medical Group Via Christi, PA | Current | Accepting new patients | |
| Ascension Medical Group Via Christi, PA | Current | 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
- 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.
-
- Rural Health Clinic/Center
- Wellington, KS
- NPI 1538773569
-
- Rural Health Clinic/Center
- Mulvane, KS
- NPI 1437763463
-
- Ambulatory Surgical Clinic/Center
- Wichita, KS
- NPI 1073523452
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wichita, KS
- NPI 1154314789
Hospital
-
- Home Health Agency
- Wichita, KS
- NPI 1548264229
-
- Home Health Agency
- Chanute, KS
- NPI 1275591760
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2020; 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.