Individual provider Active NPI

Lacy McKinley, ARNP

  • Nurse Practitioner
  • Gulf Breeze, FL
National Provider Identifier
1508233156
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP9247512 Issued in FL
Practice address
4033 Gulf Breeze Pkwy
Gulf Breeze, FL 32563-3506
Phone
(850) 416-2340
Fax
(850) 416-2345
NPI assigned
Aug 31, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2023

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 ARNP9247512 FL Primary

Addresses

Primary practice location

4033 Gulf Breeze Pkwy
Gulf Breeze, FL 32563-3506

Mailing address

PO Box 2699
Pensacola, FL 32513-2699
Phone (850) 416-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NM, WV, GA, LA5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20151203001599 FL Practitioner - Nurse Practitioner 4284934068 Reassigns benefits to 4 organizations
I20240118001270 NM Practitioner - Nurse Practitioner 4284934068 Reassigns benefits to 1 organization
I20260327000124 WV Practitioner - Nurse Practitioner 4284934068 Reassigns benefits to 1 organization
I20260501002923 GA Practitioner - Nurse Practitioner 4284934068 Reassigns benefits to 2 organizations
I20260514001051 LA Practitioner - Nurse Practitioner 4284934068 Reassigns benefits to 2 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
Emergency Medicine Services of FL LLCGroup PAC ID 8426413931, 686 clinicians
Pensacola Emergency Physicians, LLCGroup PAC ID 3173582624, 41 clinicians
Cep America LLCGroup PAC ID 6608056171, 995 clinicians
Presbyterian Healthcare ServicesGroup PAC ID 9234041708, 1,390 clinicians

Practice addresses (Care Compare)

1000 Mar Walt Dr
Fort Walton Beach Medical Center
Fort Walton Beach, FL 32547-6708
Phone (850) 864-0213

123 Baptist Way
Pensacola, FL 32503-2254
Phone (850) 469-2313

13139 Sorrento Rd
Pensacola, FL 32507-8777
Phone (850) 746-0020

3436 Isleta Blvd SW
Albuquerque, NM 87105-5837
Phone (505) 462-7777

Hospital & facility affiliations

  • Baptist Hospital Hospital, Pensacola, FL, CCN 100093
  • Beckley Arh Hospital Hospital, Beckley, WV, CCN 510062

Merit-based Incentive Payment System (MIPS)

Final score
97.8 of 100Reported as group
Quality
93.19
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
88.68 of 100Reported as group
Quality
82.35
Promoting interoperability
100
Improvement activities
40
Cost
76.6

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9247512FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sacred Heart Health System, Inc. CurrentSince Jan 1, 2016 Accepting new patients
Emergency Medicine Services of FL, LLC CurrentSince May 31, 2025 Accepting new patients
Presbyterian Healthcare Services CurrentSince Jan 21, 2024 Accepting new patients
Cep America LLC CurrentSince Oct 1, 2025 Accepting new patients
Presbyterian Healthcare Services CurrentSince Jan 21, 2024 Accepting new patients
Pensacola Emergency Physicians, LLC Current Accepting new patients
Pensacola Emergency Physicians, LLC CurrentSince May 25, 2022 Accepting new patients
Cep America, LLC Current Accepting new patients
Sacred Heart Health System, Inc. Current Accepting new patients
Cep America LLC CurrentSince Oct 1, 2025 Accepting new patients
Tri Hospital MRI Center Past Accepting new patients
Presbyterian Healthcare Services Past Accepting new patients

Locations

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

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

1000 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 374-9610

4033 Gulf Breeze Pkwy
Gulf Breeze, FL 32563
Phone (850) 416-6159

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

7800 US Highway 98 W
Miramar Beach, FL 32550
Phone (850) 267-1603

123 Baptist Way
Pensacola, FL 32503
Phone (850) 434-4011

6665 Pensacola Blvd
Pensacola, FL 32505
Phone (850) 416-2000

13139 Sorrento Rd
Pensacola, FL 32507
Phone (850) 492-0543

2315 W Jackson St
Pensacola, FL 32505
Phone (850) 495-3955

1110 Gulf Breeze Pkwy
Pensacola Beach, FL 32561
Phone (850) 438-1848

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

8300 Constitution Ave NE
Bldg D
Albuquerque, NM 87110
Phone (505) 291-2200

7400 Menaul Blvd NE
Albuquerque, NM 87110
Phone (505) 596-2400

3436 Isleta Blvd SW
Albuquerque, NM 87105
Phone (505) 462-7777

2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: lmckinley248243@direct.phs.org
  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: lacy.bruster.2@9582.direct.athenahealth.com

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 3

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": "1440979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1508233156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2699",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325132699",
            "telephone_number": "850-416-2000",
            "fax_number": "850-416-2080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4033 GULF BREEZE PKWY",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325633506",
            "telephone_number": "850-416-2340",
            "fax_number": "850-416-2345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINLEY",
        "first_name": "LACY",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-31",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9247512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulf Breeze, FL

Sources for this page

Verify at the official NPI Registry.