Individual provider Active NPI

Lacey Diemer, NP

  • Family Nurse Practitioner
  • Deposit, NY
National Provider Identifier
1346970779
Registry record updated Jul 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
349947 Issued in NY
Practice address
53 Pine St
Deposit, NY 13754-1301
Phone
(607) 467-4195
NPI assigned
Jun 17, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2022

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 349947 NY Primary

Addresses

Primary practice location

53 Pine St
Deposit, NY 13754-1301

Mailing address

33 Lewis Rd
2ND FL
Binghamton, NY 13905
Phone (607) 770-0025

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20220908000353 NY Practitioner - Nurse Practitioner 2961886064 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
89.14 of 100Reported as group
Quality
86.74
Promoting interoperability
99
Improvement activities
40
Cost
70.09

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
349947NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chenango Memorial Hospital Inc Current Accepting new patients
Chenango Memorial Hospital Inc CurrentSince Feb 23, 2025 Accepting new patients
Chenango Memorial Hospital, Inc CurrentSince Feb 23, 2025 Accepting new patients
United Health Services Hospitals, Inc. CurrentSince Sep 12, 2022 Accepting new patients
United Medical Associates PC Past Accepting new patients
Chenango Memorial Hospital, Inc. Past Accepting new patients

Locations

33 Lewis Rd
Fl 2
Binghamton, NY 13905
Phone (607) 729-8156

53 Pine St
Deposit, NY 13754
Phone (607) 467-4195

179 N Broad St
Norwich, NY 13815
Phone (607) 337-4111

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1655424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1346970779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 LEWIS RD",
            "address_2": "2ND FL",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "13905",
            "telephone_number": "607-770-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 PINE ST",
            "city": "DEPOSIT",
            "state": "NY",
            "postal_code": "137541301",
            "telephone_number": "607-467-4195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIEMER",
        "first_name": "LACEY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-17",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "349947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deposit, NY

Sources for this page

Verify at the official NPI Registry.