Individual provider Active NPI

Lacy Loeb, FNP

  • Family Nurse Practitioner
  • Troy, MO
National Provider Identifier
1366813545
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2015037602 Issued in MO
Practice address
900 E Cherry St
Troy, MO 63379-1429
Phone
(636) 528-8585
NPI assigned
Oct 13, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 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 2015037602 MO Primary

Addresses

Primary practice location

900 E Cherry St
Troy, MO 63379-1429

Mailing address

900 E Cherry St
Troy, MO 63379-1429
Phone (636) 528-8585

Other practice location 1

1000 E Cherry St
Troy, MO 63379-1513
Phone (636) 528-3495

Other names 1

  • Lacy Bach 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
I20151110002474 MO Practitioner - Nurse Practitioner 2466762000 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Hospital LincolnGroup PAC ID 5193040020, 31 clinicians
Lincoln County Memorial HospitalGroup PAC ID 5395632327, 4 clinicians

Practice addresses (Care Compare)

900 E Cherry St
Troy, MO 63379-1429
Phone (636) 528-8585

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy East Ambulatory Services LLC CurrentSince Dec 30, 2019 Accepting new patients
Cep America, LLC Current Accepting new patients
Cep America LLC CurrentSince Feb 1, 2020 Accepting new patients
Cep America LLC CurrentSince Feb 1, 2020 Accepting new patients
Mercy Hospital Lincoln Family Medicine CurrentSince Jul 13, 2020 Accepting new patients
Our Urgent Care, LLC PastSince Dec 9, 2019 Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

12303 De Paul Dr
Bridgeton, MO 63044
Phone (314) 344-6360

1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000

409 Lafayette Ctr
Manchester, MO 63011
Phone (636) 707-0764

11445 Olive Blvd
Saint Louis, MO 63141
Phone (314) 428-9543

900 E Cherry St
Troy, MO 63379
Phone (636) 528-8585

1000 E Cherry St
Troy, MO 63379
Phone (636) 528-3327

1111 W Pearce Blvd
Wentzville, MO 63385
Phone (636) 856-5362

Organizations & group practices 7

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.

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": "1444694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1366813545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 E CHERRY ST",
            "city": "TROY",
            "state": "MO",
            "postal_code": "633791429",
            "telephone_number": "636-528-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E CHERRY ST",
            "city": "TROY",
            "state": "MO",
            "postal_code": "633791429",
            "telephone_number": "636-528-8585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 E Cherry St",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MO",
            "postal_code": "633791513",
            "country_code": "US",
            "telephone_number": "636-528-3495",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOEB",
        "first_name": "LACY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-13",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2015037602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LACY",
            "last_name": "BACH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Troy, MO

Sources for this page

Verify at the official NPI Registry.