Active NPI
Lacey Appachu, NP
- Nurse Practitioner
- Mesa, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 235223
- Practice address
- 1520 S Dobson Rd Ste 206
Mesa, AZ 85202-4753 - Phone
- (480) 412-8080
- NPI assigned
- Aug 14, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 235223 | AZ | Primary |
| Registered Nurse | 163W00000X | 235223 | AZ |
Addresses
Primary practice location
1520 S Dobson Rd Ste 206
Mesa, AZ 85202-4753
Mailing address
1400 S Dobson Rd
Mesa, AZ 85202-4707
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240926002944 | AZ | Practitioner - Nurse Practitioner | 1456892744 | Reassigns benefits to 2 organizations |
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
- Banner - University Physician Specialists LLCArizona Urology Specialists PLLC
Practice addresses (Care Compare)
1520 S Dobson Rd
Suite 206
Mesa, AZ 85202-4753
Phone (602) 462-0480
17300 N Perimeter Dr
Suite 220
Scottsdale, AZ 85255-6703
Phone (480) 661-2662
Hospital & facility affiliations
- Banner Desert Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona Urology Specialists, PLLC | Current | Accepting new patients | |
| Banner - University Physician Specialists LLC | Current | Accepting new patients | |
| Foothills Urology, PC | Current | Accepting new patients | |
| Banner - University Physician Specialists LLC | Current | Accepting new patients | |
| Banner - University Physician Specialists LLC | Current | Accepting new patients |
Locations
1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000
2530 E Southern Ave
Mesa, AZ 85204
Phone (480) 834-4188
1520 S Dobson Rd
Ste 206
Mesa, AZ 85202
Phone (480) 412-8080
1300 N 12th St
Ste 508
Phoenix, AZ 85006
Phone (602) 839-3927
17300 N Perimeter Dr
Ste 220
Scottsdale, AZ 85255
Phone (480) 661-2661
10200 Grand Central Ave
Ste 220
Owings Mills, MD 21117
25 Crossroads Dr
Ste 306
Owings Mills, MD 21117
Phone (443) 231-1681
Interoperability endpoints
- laceycarr@fu.allscriptsdirect.net
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1437529245
AZ
-
- Multi-Specialty Clinic/Center
- Maricopa, AZ
- NPI 1063887727
-
- Durable Medical Equipment & Medical Supplies
- Phoenix, AZ
- NPI 1164255865
-
- Urology Physician
- Golden, CO
- NPI 1780617795
Hospital & facility affiliations 1
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": "1723593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757635200000",
"number": "1124850649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 S DOBSON RD",
"city": "MESA",
"state": "AZ",
"postal_code": "852024707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1520 S DOBSON RD STE 206",
"city": "MESA",
"state": "AZ",
"postal_code": "852024753",
"telephone_number": "480-412-8080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "APPACHU",
"first_name": "LACEY",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-14",
"last_updated": "2025-09-12",
"certification_date": "2025-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AZ",
"license": "235223",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AZ",
"license": "235223",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2025; 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.