Lacie Diana Porter, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A177192 Issued in IA

Practice address

400 E Polk St
Washington, IA 52353-1237

Phone

(720) 299-1721

NPI assigned

Dec 4, 2023

Last updated

Dec 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Washington County HospitalGroup PAC ID 2062329931, 39 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Washington County Hospital and Clinics Hospital, Washington, IA, CCN 161344

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Washington County Hospital

  dba WCHC Kalona Clinic

  • Family Medicine Physician
  • Kalona, IA
  • NPI 1235985003
  Medicare reassignment Care Compare group NPD
• Washington County Hospital

  dba Washington County Hospital & Clinics

  • Critical Access Hospital
  • Washington, IA
  • NPI 1053305326
  Medicare reassignment
• Washington County Hospital

  dba Ken and Rosemary Hanson Specialty Clinic

  • Clinic/Center
  • Washington, IA
  • NPI 1215539952
  NPD
• Washington County Hospital

  dba Washington County Hospital and Clinics Family Medicine

  • Rural Health Clinic/Center
  • Washington, IA
  • NPI 1669802955
  NPD
• Washington County Hospital

  dba WCHC Columbus Junction Clinic

  • Rural Health Clinic/Center
  • Columbus Junction, IA
  • NPI 1942893839
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Washington County Hospital

  dba Washington County Hospital & Clinics

  • Critical Access Hospital
  • Washington, IA
  • NPI 1053305326
  Care Compare affiliation
• Washington County Hospital

  dba Ken and Rosemary Hanson Specialty Clinic

  • Clinic/Center
  • Washington, IA
  • NPI 1215539952

  Hospital

  Care Compare affiliation
• Washington County Hospital

  dba Washington County Hospital and Clinics Neurology Clinic

  • Neurology Physician
  • Washington, IA
  • NPI 1326402355

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1701648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1487421103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 S 10TH AVE",
            "city": "WASHINGTON",
            "state": "IA",
            "postal_code": "523531303",
            "telephone_number": "172-029-9172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E POLK ST",
            "city": "WASHINGTON",
            "state": "IA",
            "postal_code": "523531237",
            "telephone_number": "720-299-1721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "LACIE",
        "middle_name": "DIANA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-04",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A177192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• PH Washington, LLC (Platinum Health Care of Washington)
• Pharmacy Relief Services, PLLC (Rx4Prevention, PLLC)
• Pharmacy Relief Services, PLLC (Rx4Prevention PLLC)
• Planned Parenthood of the Heartland
• Robin I Plattenberger-Gilmore, DO
• Matthew John Prihoda, M.D.
• Lauren Taylor Purdy, OTR/L
• QV Urgent Care Ia PLLC (Quickvisit Urgent Care)
• Gloria Reha, LISW
• Rem Iowa, Inc

• Family Nurse Practitioner in Washington, IA
• Providers in Washington, IA by specialty
• Family Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; 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.

Verify at the official NPI Registry.