Individual provider Active NPI

Ashlea Mickelle Lacey, NP

  • Family Nurse Practitioner
  • Springfield, MO
National Provider Identifier
1194563957
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2024025449 Issued in MO
Practice address
3805 S Kansas Expy Ste B
Springfield, MO 65807-6989
Phone
(417) 269-0269
NPI assigned
Jul 17, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2024025449 MO Primary

Addresses

Primary practice location

3805 S Kansas Expy Ste B
Springfield, MO 65807-6989

Mailing address

3805 S Kansas Expy Ste B
Springfield, MO 65807-6989
Phone (417) 366-0402

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20240801003239 MO Practitioner - Nurse Practitioner 2567909070 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
Lester E Cox Medical CentersGroup PAC ID 5799787784, 240 clinicians

Practice addresses (Care Compare)

3805 S Kansas Expy B
Coxhealth Center Chesterfield
Springfield, MO 65807-6989
Phone (417) 269-0269

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lester E Cox Medical Centers CurrentSince Aug 26, 2024 Accepting new patients
Lester E Cox Medical Centers CurrentSince Aug 26, 2024 Accepting new patients
Lester E. Cox Medical Centers Past Accepting new patients

Locations

3805 S Kansas Expy
Ste B
Springfield, MO 65807
Phone (417) 269-0269

Organizations & group practices 3

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 3

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": "1721174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1194563957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3805 S KANSAS EXPY STE B",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658076989",
            "telephone_number": "417-366-0402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 S KANSAS EXPY STE B",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658076989",
            "telephone_number": "417-269-0269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACEY",
        "first_name": "ASHLEA",
        "middle_name": "MICKELLE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-17",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2024025449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.