Individual provider Active NPI

Lacey Appachu, NP

  • Nurse Practitioner
  • Mesa, AZ
National Provider Identifier
1124850649
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
235223 Issued in AZ
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

Updated by the provider on Sep 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 LLCGroup PAC ID 5991008054, 343 clinicians
Arizona Urology Specialists PLLCGroup PAC ID 5092863852, 84 clinicians

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 Hospital, Mesa, AZ, CCN 030065

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Urology Specialists, PLLC CurrentSince Aug 19, 2024 Accepting new patients
Banner - University Physician Specialists LLC CurrentSince Oct 13, 2025 Accepting new patients
Foothills Urology, PC Current Accepting new patients
Banner - University Physician Specialists LLC Current Accepting new patients
Banner - University Physician Specialists LLC CurrentSince Oct 13, 2025 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.