NPIMap

Individual provider Active NPI

Lacy Marie Engelstad, NP

  • Nurse Practitioner
  • Coeur d'Alene, ID
National Provider Identifier
1427712181
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
70390 Issued in ID
Practice address
3815 N Schreiber Way Unit 101
Coeur D Alene, ID 83815-8434
Phone
(208) 758-0920
Fax
(208) 765-0277
NPI assigned
Oct 28, 2021
Last updated
Jul 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 70390 ID Primary

Addresses

Primary practice location

3815 N Schreiber Way Unit 101
Coeur D Alene, ID 83815-8434

Mailing address

3815 N Schreiber Way Unit 101
Coeur D Alene, ID 83815-8434
Phone (208) 758-0920

Other practice location 1

1701 Lincoln Way
Coeur D Alene, ID 83814-2537
Phone (208) 625-4950

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220120002140 ID Practitioner - Nurse Practitioner 9133511348 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beacon Cancer Care PLLCGroup PAC ID 6901158773, 15 clinicians

Practice addresses (Care Compare)

3815 N Schreiber Way
Unit 101
Coeur D Alene, ID 83815-8434
Phone (208) 755-2804

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kootenai Health, Inc. CurrentSince Jan 17, 2022 Accepting new patients
Kootenai Health, Inc. Nurse Practitioner Current Accepting new patients
Incyte Pathology, LLC Current Accepting new patients
Beacon Cancer Care PLLC Nurse Practitioner CurrentSince Oct 1, 2023 Accepting new patients
Beacon Cancer Care PLLC CurrentSince Nov 17, 2024 Accepting new patients
Kootenai Health, Inc. CurrentSince Jan 17, 2022 Accepting new patients

Locations

1701 Lincoln Way
Coeur D Alene, ID 83814
Phone (208) 625-4955

1919 Lincoln Way
Ste 110
Coeur D Alene, ID 83814
Phone (208) 625-4515

2003 Kootenai Health Way
Coeur D Alene, ID 83814
Phone (208) 625-5085

3815 N Schreiber Way
Unit 101
Coeur D Alene, ID 83815
Phone (208) 755-2804

1300 E Mullan Ave
Ste 700
Post Falls, ID 83854
Phone (208) 625-5564

1641 E Polston Ave
Ste 102
Post Falls, ID 83854
Phone (208) 618-5212

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1635379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1427712181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3815 N SCHREIBER WAY UNIT 101",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838158434",
            "telephone_number": "208-758-0920",
            "fax_number": "208-765-0277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3815 N SCHREIBER WAY UNIT 101",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838158434",
            "telephone_number": "208-758-0920",
            "fax_number": "208-765-0277"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 Lincoln Way",
            "address_purpose": "LOCATION",
            "city": "Coeur D Alene",
            "state": "ID",
            "postal_code": "838142537",
            "country_code": "US",
            "telephone_number": "208-625-4950",
            "fax_number": "208-625-4951",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENGELSTAD",
        "first_name": "LACY",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-28",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ID",
            "license": "70390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur d'Alene, ID

Sources for this page

Verify at the official NPI Registry.