Lacey A Nicol, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Chariton, IA
NPI 1215228010 · NPPES record last updated Jan 31, 2023
Key facts
- NPI
- 1215228010
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- D-129518 (IA)
- Practice address
- 818 N 8TH St
Chariton, IA 50049-1336 - Phone
- (641) 203-9538
- NPI assigned
- Apr 27, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 23
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Grinnell Regional Medical Center
Practice addresses (Care Compare)
202 4TH Ave
FL 2
Grinnell, IA 50112-1898
Phone (641) 236-2925
210 4TH Ave
Grinnell, IA 50112-1898
Phone (641) 236-7511
Hospital & facility affiliations
- Grinnell Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.71 of 100
- Quality
- 89.85
- Promoting interoperability
- 94.05
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IA, MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120918000164 | IA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 2466637640 | Reassigns benefits to 9 organizations |
| I20231031001894 | MO | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 2466637640 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D-129518 | IA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Waverly Health Center | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Knoxville Community Hospital Inc | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Mercy Medical Center-Newton | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Mason City Ambulatory Surgery Center, LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Mercy Medical Center-Newton | Current |
Accepting new patients | |
| North Iowa Mercy Clinics | Current |
Accepting new patients | |
| Mahaska County Hospital | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| North Iowa Mercy Clinics | Current |
Accepting new patients | |
| Iowa Physicians Clinic Medical Foundation | Current |
Accepting new patients | |
| Knoxville Community Hospital Inc | Current | Accepting new patients | |
| Waverly Health Center | Current |
Accepting new patients | |
| Midwest Anesthesia Providers S.C | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Mahaska County Hospital | Current | Accepting new patients | |
| Wabash Valley Anesthesia | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Mason City Ambulatory Surgery Center, LLC | Past | Accepting new patients | |
| Regional Anesthesia Group Inc | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150
4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950
210 4th Ave
Grinnell, IA 50112
Phone (641) 236-2055
1202 W Howard St
Knoxville, IA 50138
Phone (641) 828-7144
1002 S Lincoln St
Knoxville, IA 50138
Phone (641) 842-1464
1000 4th St SW
Mason City, IA 50401
Phone (641) 424-6704
990 4th St SW
Mason City, IA 50401
Phone (641) 494-2000
204 N 4th Ave E
Newton, IA 50208
Phone (641) 791-4800
1229 C Ave E
Oskaloosa, IA 52577
Phone (641) 672-3100
201 Trueblood Ave
Oskaloosa, IA 52577
Phone (641) 672-3360
1753 W Ridgeway Ave
Ste 107
Waterloo, IA 50701
Phone (319) 833-5907
312 9th St SW
Waverly, IA 50677
Phone (319) 352-4120
1101 W Liberty St
Farmington, MO 63640
Phone (573) 705-1272
11133 Dunn Rd
Saint Louis, MO 63136
Phone (314) 653-5000
Interoperability endpoints
- lnicol814387@direct.unitypoint.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | D-129518 | IA | Yes |
Addresses
Primary practice location
818 N 8TH St
Chariton, IA 50049-1336
Mailing address
818 N 8TH St
Chariton, IA 50049-1336
Phone (641) 203-9538
Other practice location 1
1000 4th St SW
Mason City, IA 50401-2800
Phone (641) 428-7000
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mc.mmcmc.him@direct.2.mycarefile.org | Health Information Exchange (HIE) | MercyOne North Iowa Medical Center |
Other providers in Chariton, IA
- David Harold Marcowitz
- Carie Mae Masters
- Phillip Ross Masters
- Michael McNaughton
- Mollie James DO PC
- Northridge Assisted Living, LLC
- Osceola Vision Center P.C.
- Christopher J Osier
- Kimberly Dawn Pace
- Marina Parkhutik
All providers in Chariton, IA · Certified Registered Nurse Anesthetist in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 31, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.