Individual provider Active NPI

Lacey Anne Felten, ACNPC-AG

  • Acute Care Nurse Practitioner
  • Midland, MI
National Provider Identifier
1568199867
Registry record updated Nov 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
4704322011NSA220KV Issued in MI
Practice address
2660 W Sugnet Rd
Midland, MI 48670-4860
Phone
(989) 832-0900
NPI assigned
Aug 5, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 4704322011NSA220KV MI Primary

Addresses

Primary practice location

2660 W Sugnet Rd
Midland, MI 48670-4860

Mailing address

430 N 2ND St
Freeland, MI 48623-2505
Phone (989) 450-8857

Other practice location 1

700 Cooper Campus
Saginaw, MI 48602-4860
Phone (989) 583-6211 ext. 36211

Other names 1

  • Lacey Anne Delore Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL laceyfelten@CHS-MI.COM Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20221115001068 MI Practitioner - Nurse Practitioner 6608244140 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mymichigan Medical Center MidlandGroup PAC ID 2264323633, 507 clinicians

Practice addresses (Care Compare)

2660 W Sugnet Rd
Mymichigan Electrophysiology
Midland, MI 48640-2647
Phone (989) 832-0900

Hospital & facility affiliations

  • Mymichigan Medical Center Midland Hospital, Midland, MI, CCN 230222
  • Mymichigan Medical Center Clare Hospital, Clare, MI, CCN 230180
  • Scheurer Hospital Hospital, Pigeon, MI, CCN 231310
  • Mymichigan Medical Center Gladwin Hospital, Gladwin, MI, CCN 231325
  • Mymichigan Medical Center Alma Hospital, Alma, MI, CCN 230030

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704322011NSA220KVMIMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mymichigan Medical Center Midland CurrentSince Nov 11, 2022 Accepting new patients
Mymichigan Medical Center Midland CurrentSince Nov 11, 2022 Accepting new patients

Locations

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

2660 W Sugnet Rd
Midland, MI 48640
Phone (989) 488-5010

4500 N Campus Ridge Dr
Midland, MI 48640
Phone (989) 837-9250

170 N Caseville Rd
Pigeon, MI 48755
Phone (989) 453-3223

Interoperability endpoints

  • Direct secure messaging: lfelten76495@mymichiganhealth.midirect.net

Organizations & group practices 2

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 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1659657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668038400000",
    "number": "1568199867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 N 2ND ST",
            "city": "FREELAND",
            "state": "MI",
            "postal_code": "486232505",
            "telephone_number": "989-450-8857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2660 W SUGNET RD",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486704860",
            "telephone_number": "989-832-0900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 Cooper Campus",
            "address_purpose": "LOCATION",
            "city": "Saginaw",
            "state": "MI",
            "postal_code": "486024860",
            "country_code": "US",
            "telephone_number": "989-583-6211 x36211",
            "fax_number": "989-583-6217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FELTEN",
        "first_name": "LACEY",
        "middle_name": "ANNE",
        "credential": "ACNPC-AG",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-05",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MI",
            "license": "4704322011NSA220KV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "laceyfelten@CHS-MI.COM",
            "affiliation": "N",
            "endpointDescription": "WORK EMAIL",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "700 Cooper Campus",
            "city": "Saginaw",
            "state": "MI",
            "country_code": "US",
            "postal_code": "486024860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LACEY",
            "last_name": "DELORE",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Midland, MI

Sources for this page

Verify at the official NPI Registry.