Active NPI
Courtney Erin Lacy, PA-S
- Physician Assistant
- Fort Myers, FL
National Provider Identifier
1295662393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9122032
- Practice address
- 9981 S Healthpark Dr
Fort Myers, FL 33908-3618 - Phone
- (239) 342-5000
- NPI assigned
- May 5, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9122032 | FL | Primary |
Addresses
Primary practice location
9981 S Healthpark Dr
Fort Myers, FL 33908-3618
Mailing address
PO Box 2147
Fort Myers, FL 33902-2147
Phone (239) 343-2052
Other practice location 1
13681 Doctors Way
Fort Myers, FL 33912-4300
Phone (239) 343-1000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 132103100 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2026
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Suite 2147
Fort Myers, FL 33902
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1777939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787875200000",
"number": "1295662393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2147",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339022147",
"telephone_number": "239-343-2052",
"fax_number": "239-343-1009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9981 S HEALTHPARK DR",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339083618",
"telephone_number": "239-342-5000"
}
],
"practiceLocations": [
{
"address_1": "13681 Doctors Way",
"address_purpose": "LOCATION",
"city": "Fort Myers",
"state": "FL",
"postal_code": "339124300",
"country_code": "US",
"telephone_number": "239-343-1000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LACY",
"first_name": "COURTNEY",
"middle_name": "ERIN",
"credential": "PA-S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-05-05",
"last_updated": "2026-08-28",
"certification_date": "2026-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9122032",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "132103100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.