Individual provider Active NPI

Lacey Renee Rosinski, NP

  • Family Nurse Practitioner
  • Peru, IN
National Provider Identifier
1689230096
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71009121A Issued in IN
Practice address
285 W 12TH St Ste 205
Peru, IN 46970-1654
Phone
(765) 472-5335
NPI assigned
May 13, 2019
Last updated
Mar 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71009121A IN Primary

Addresses

Primary practice location

285 W 12TH St Ste 205
Peru, IN 46970-1654

Mailing address

240 N Tillotson Ave
Muncie, IN 47304-3988
Phone (765) 288-1928

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20190912001730 IN Practitioner - Nurse Practitioner 5799014924 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Indiana Health Centers IncGroup PAC ID 3971599473, shared by 16 NPIs, 63 clinicians

Practice addresses (Care Compare)

661 E Main St
CHC of Miami County
Peru, IN 46970-2662
Phone (765) 472-2519

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71009121AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Meridian Health Services Corp. CurrentSince Feb 20, 2026 Accepting new patients
Indiana Health Centers, Inc. CurrentSince Apr 1, 2023 Accepting new patients
Indiana Health Centers Inc CurrentSince Apr 1, 2023 Accepting new patients
Meridian Health Services Corp CurrentSince Feb 20, 2026 Accepting new patients
Indiana Health Centers, Inc Past Accepting new patients
Indiana Health Centers, Inc. Past Accepting new patients
St. Vincent Medical Group, Inc. Past Accepting new patients

Locations

8003 Castleway Dr
Indianapolis, IN 46250
Phone (317) 576-1335

1700 Dividend Dr
Logansport, IN 46947
Phone (574) 722-7407

240 N Tillotson Ave
Muncie, IN 47304

285 W 12th St
Ste 205
Peru, IN 46970
Phone (765) 472-5335

661 E Main St
Peru, IN 46970
Phone (765) 472-2519

765 S Michigan St
South Bend, IN 46601
Phone (574) 235-7990

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1557705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1689230096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 N TILLOTSON AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473043988",
            "telephone_number": "765-288-1928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 W 12TH ST STE 205",
            "city": "PERU",
            "state": "IN",
            "postal_code": "469701654",
            "telephone_number": "765-472-5335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSINSKI",
        "first_name": "LACEY",
        "middle_name": "RENEE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-13",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71009121A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peru, IN

Sources for this page

Verify at the official NPI Registry.