Scott Lacefield, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA-1184 Issued in ID

Practice address

6641 Kaniksu St
Suite a
Bonners Ferry, ID 83805-7532

Phone

(208) 267-3655

Fax

(208) 267-3757

NPI assigned

Oct 28, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Health and Wellness IncGroup PAC ID 9436566437, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cabinet Peaks Medical Center Hospital, Libby, MT, CCN 271320

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: scott.lacefield@330576480108548.direct.elationemr.com

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.

• Family Health & Wellness, Inc.

  • Primary Care Nurse Practitioner
  • Libby, MT
  • NPI 1275118085
  Medicare reassignment Care Compare group
• St. John'S Lutheran Hospital, Inc.

  • Critical Access Hospital
  • Libby, MT
  • NPI 1952312050
  Medicare reassignment

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

• St. John'S Lutheran Hospital, Inc.

  • Critical Access Hospital
  • Libby, MT
  • NPI 1952312050
  Care Compare affiliation

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

{
    "created_epoch": "1256688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599696000000",
    "number": "1780910547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6640 KANIKSU ST",
            "city": "BONNERS FERRY",
            "state": "ID",
            "postal_code": "838057532",
            "telephone_number": "208-267-3141",
            "fax_number": "209-267-0660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6641 KANIKSU ST",
            "address_2": "SUITE A",
            "city": "BONNERS FERRY",
            "state": "ID",
            "postal_code": "838057532",
            "telephone_number": "208-267-3655",
            "fax_number": "208-267-3757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACEFIELD",
        "first_name": "SCOTT",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-28",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MT",
            "license": "594",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ID",
            "license": "PA-1184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cpmcmedicalrecords@cpmcdirect.org",
            "affiliation": "N",
            "address_1": "209 Health Park Dr",
            "city": "Libby",
            "state": "MT",
            "country_code": "US",
            "postal_code": "599232001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rebecca D Kemp, PA-C
• Mona Kim-Brown, LCPC
• Christopher Michael Kolobow, NP-C
• Kootenai Tribe of Idaho
• Beverly Krichbaum
• Katie Marie Larson
• Laura Jean Lata, N.P.
• Jordan Thomas Lauby, PA-C
• Susan J Layeux, MD
• Carol V Lucero, LCSW

• Physician Assistant in Bonners Ferry, ID
• Providers in Bonners Ferry, ID by specialty
• Physician Assistant in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; 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.