Individual provider Active NPI

Lacey Kristin Matheis, MSN, NP-C

  • Family Nurse Practitioner
  • Evansville, IN
National Provider Identifier
1205235165
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71005056A Issued in IN
Practice address
3700 Bellemeade Ave Ste 202
Evansville, IN 47714-0126
Phone
(812) 485-5800
NPI assigned
Aug 17, 2014
Last updated
Dec 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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 71005056A IN Primary

Addresses

Primary practice location

3700 Bellemeade Ave Ste 202
Evansville, IN 47714-0126

Mailing address

3700 Bellemeade Ave Ste 202
Evansville, IN 47714-0126

Other names 1

  • Lacey Kristin Peer Former name

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
I20250730001701 MO Practitioner - Nurse Practitioner 7719200500 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Truhealth, LLC CurrentSince Jun 25, 2025 Accepting new patients

Locations

904 E 68th St
Kansas City, MO 64131
Phone (816) 333-5485

1971 Tennessee Ave N
Parsons, TN 38363
Phone (731) 847-1356

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1408233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1205235165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 BELLEMEADE AVE STE 202",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 BELLEMEADE AVE STE 202",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140126",
            "telephone_number": "812-485-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEIS",
        "first_name": "LACEY",
        "middle_name": "KRISTIN",
        "credential": "MSN, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-17",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71005056A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LACEY",
            "last_name": "PEER",
            "middle_name": "KRISTIN",
            "credential": "MSN, NP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.