Lacy Dawn Davis Walters, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MED-PAC-LIC-26013 Issued in MT

Practice address

2550 E Broadway St
Helena, MT 59601-4905

Phone

(208) 724-4410

NPI assigned

Sep 14, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other names 1

• Lacy Dawn Davis Professional name

Medicare fee-for-service enrollment

Enrolled in MT

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

Physician Assistant

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Peters HealthGroup PAC ID 7911814926, 206 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Peters Health Hospital, Helena, MT, CCN 270003

Merit-based Incentive Payment System (MIPS)

Final score

83.75 of 100Reported as group

Quality

71.01

Promoting interoperability

100

Improvement activities

40

Cost

74.84

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lacy.walters@1179.chartlogic.direct-ci.com

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.

• St Peter's Health

  • General Acute Care Hospital
  • Helena, MT
  • NPI 1205025145
  Medicare reassignment Care Compare group NPD (past)
• St. Peter's Health

  dba Sound Health Imaging

  • Radiology Clinic/Center
  • Butte, MT
  • NPI 1194785154
  NPD
• St. Peter's Health

  • General Acute Care Hospital
  • Helena, MT
  • NPI 1528023520
  NPD
• St. Peter's Health

  dba St Peters Medical Office Building

  • Family Medicine Physician
  • Helena, MT
  • NPI 1083869390
  NPD (past)

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

• St Peter's Medical Group North

  • Family Medicine Physician
  • Helena, MT
  • NPI 1477844744

  Hospital

  Care Compare affiliation
• St. Peter's Health

  dba St Peters Medical Office Building

  • Family Medicine Physician
  • Helena, MT
  • NPI 1083869390

  Hospital

  Care Compare affiliation
• St. Peter's Health

  • General Acute Care Hospital
  • Helena, MT
  • NPI 1528023520
  Care Compare affiliation
• St. Peter's Hospital

  • Ambulance
  • Helena, MT
  • NPI 1760586481

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619654400000",
    "number": "1659476737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6369",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596046369",
            "telephone_number": "406-447-2823",
            "fax_number": "406-447-2825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 E BROADWAY ST",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596014905",
            "telephone_number": "208-724-4410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "LACY",
        "middle_name": "DAWN DAVIS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MT",
            "license": "MED-PAC-LIC-26013",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ID",
            "license": "PA-622",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "ID",
            "license": "PA622",
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "ID",
            "license": "PA622",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LACY",
            "last_name": "DAVIS",
            "middle_name": "DAWN",
            "credential": "PA-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Chesney Walker
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• April Schauer Walsh, DMD
• Caitlin Walsh
• Kimberly Ann Walters, PHARMD
• Maisie Walters
• Patrick James Walton, M.D.
• Heidi S Wampler, D.V.M.
• Todd Brian Wampler, MD
• Kate Wandel, MSW

• Physician Assistant in Helena, MT
• Providers in Helena, MT by specialty
• Physician Assistant in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; 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.