Active NPI
Lacey Schuckman
- Family Nurse Practitioner
- Manhattan, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 76477
- Practice address
- 4101 Anderson Ave
Manhattan, KS 66503-7588 - Phone
- (785) 587-4101
- Fax
- (785) 587-9090
- NPI assigned
- Aug 14, 2014
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 53-76477-022 | KS | |
| Primary Care Nurse Practitioner | 363LP2300X | 76477 | KS | |
| Family Nurse Practitioner | 363LF0000X | 76477 | KS | Primary |
Addresses
Primary practice location
4101 Anderson Ave
Manhattan, KS 66503-7588
Mailing address
4101 Anderson Ave
Manhattan, KS 66503-7588
Phone (785) 587-4101
Other practice location 1
361 Grant Ave
Junction City, KS 66441-4201
Phone (785) 238-4711
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1700 SW 7TH St
Emergency Services of Kansas PA
Topeka, KS 66606-2489
Phone (785) 295-8000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53-76477-022 | KS | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stonecreek Family Physicians, LLP | Current | Accepting new patients | |
| Emergency Services of Kansas, P.a. | Nurse Practitioner | Current | Accepting new patients |
| Sound Physicians Emergency Medicine of Kansas, LLC | Nurse Practitioner | Current | Accepting new patients |
| K Stat Urgent Care PA | Current | Accepting new patients |
Locations
1823 College Ave
Manhattan, KS 66502
Phone (785) 539-1704
930 Hayes Dr
Ste B
Manhattan, KS 66502
Phone (785) 565-0016
4101 Anderson Ave
Manhattan, KS 66503
Phone (785) 273-9999
711 Commons Pl
Manhattan, KS 66503
Phone (785) 320-5300
1700 SW 7th St
Topeka, KS 66606
Phone (785) 295-5310
1700 SW 7th St
#O
Topeka, KS 66606
Phone (785) 295-8000
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CEIABD
- lschuckman864610@ahs.direct-ci.com
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Pleasanton, CA
- NPI 1023397098
KS, Nurse Practitioner
-
- Urgent Care Clinic/Center
- Manhattan, KS
- NPI 1356553481
-
- Emergency Medicine Physician
- Manhattan, KS
- NPI 1831689934
Nurse Practitioner
-
- Family Medicine Physician
- Manhattan, KS
- NPI 1093828097
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Manhattan, KS
- NPI 1760482517
-
dba The University of Kansas Health System, St. Francis Campus
- General Acute Care Hospital
- Topeka, KS
- NPI 1912423260
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705968000000",
"number": "1427457597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4101 ANDERSON AVE",
"city": "MANHATTAN",
"state": "KS",
"postal_code": "665037588",
"telephone_number": "785-587-4101",
"fax_number": "785-587-9090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4101 ANDERSON AVE",
"city": "MANHATTAN",
"state": "KS",
"postal_code": "665037588",
"telephone_number": "785-587-4101",
"fax_number": "785-587-9090"
}
],
"practiceLocations": [
{
"address_1": "361 Grant Ave",
"address_purpose": "LOCATION",
"city": "Junction City",
"state": "KS",
"postal_code": "664414201",
"country_code": "US",
"telephone_number": "785-238-4711",
"fax_number": "785-238-4260",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHUCKMAN",
"first_name": "LACEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-14",
"last_updated": "2024-01-23",
"certification_date": "2024-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KS",
"license": "53-76477-022",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "KS",
"license": "76477",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KS",
"license": "76477",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manhattan, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; 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.