Individual provider Active NPI

Lacey A Nicol, CRNA

  • Certified Registered Nurse Anesthetist
  • Chariton, IA
National Provider Identifier
1215228010
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
D-129518 Issued in IA
Practice address
818 N 8TH St
Chariton, IA 50049-1336
Phone
(641) 203-9538
NPI assigned
Apr 27, 2011
Last updated
Jan 31, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X D-129518 IA Primary

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 1

TypeEndpointUseAffiliation
Direct Messaging Address mc.mmcmc.him@direct.2.mycarefile.org Health Information Exchange (HIE) MercyOne North Iowa Medical Center

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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

Care Compare profile

Medicare Care Compare
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 CenterGroup PAC ID 0446153662, 98 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
95.71 of 100Reported as apm
Quality
89.85
Promoting interoperability
94.05
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
D-129518IAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Waverly Health Center Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2022 Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Mercy Medical Center-Newton Nurse Anesthetist, Certified Registered CurrentSince Mar 30, 2021 Accepting new patients
Waverly Health Center CurrentSince Aug 1, 2022 Accepting new patients
Midwest Anesthesia Providers S.C Nurse Anesthetist, Certified Registered CurrentSince Oct 2, 2023 Accepting new patients
Mahaska County Hospital Current Accepting new patients
Iowa Physicians Clinic Medical Foundation CurrentSince May 7, 2025 Accepting new patients
Mahaska County Hospital Nurse Anesthetist, Certified Registered CurrentSince Oct 15, 2023 Accepting new patients
Knoxville Community Hospital Inc Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2022 Accepting new patients
Mercy Medical Center-Newton CurrentSince Mar 30, 2021 Accepting new patients
Mason City Ambulatory Surgery Center, LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 15, 2021 Accepting new patients
Knoxville Community Hospital Inc Current Accepting new patients
North Iowa Mercy Clinics CurrentSince Aug 30, 2021 Accepting new patients
North Iowa Mercy Clinics CurrentSince Aug 30, 2021 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 160
Bettendorf, IA 52722
Phone (563) 742-5950

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

210 4th Ave
Grinnell, IA 50112
Phone (641) 236-2055

1002 S Lincoln St
Knoxville, IA 50138
Phone (641) 842-1464

1202 W Howard St
Knoxville, IA 50138
Phone (641) 828-7144

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

  • Direct secure messaging: lnicol814387@direct.unitypoint.org

Organizations & group practices 18

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.

View all 18

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": "1303862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1215228010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 N 8TH ST",
            "city": "CHARITON",
            "state": "IA",
            "postal_code": "500491336",
            "telephone_number": "641-203-9538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 N 8TH ST",
            "city": "CHARITON",
            "state": "IA",
            "postal_code": "500491336",
            "telephone_number": "641-203-9538"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 4th St SW",
            "address_purpose": "LOCATION",
            "city": "Mason City",
            "state": "IA",
            "postal_code": "504012800",
            "country_code": "US",
            "telephone_number": "641-428-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICOL",
        "first_name": "LACEY",
        "middle_name": "A",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-27",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IA",
            "license": "D-129518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mc.mmcmc.him@direct.2.mycarefile.org",
            "affiliation": "Y",
            "endpointDescription": "MercyOne North Iowa Direct Email Address",
            "affiliationName": "MercyOne North Iowa Medical Center",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1000 4th St SW",
            "city": "Mason City",
            "state": "IA",
            "country_code": "US",
            "postal_code": "504012800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chariton, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.