Lacey Rae Cheeseman, ARNP, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

G178631 Issued in IA

Practice address

1960 SW Magazine Rd
Ankeny, IA 50023-2978

Phone

(515) 348-6380

Fax

(515) 452-0565

NPI assigned

Mar 1, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Lacey Rae Coquelin Former name

Medicare fee-for-service enrollment

Enrolled in IA

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

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Iowa Behavioral Associates, LLCGroup PAC ID 2466980321, 11 clinicians

Ikc LLCGroup PAC ID 5294140851, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cheeseman.lacey@cynchealthdsm.org

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.

• Ikc, LLC

  • Clinic/Center
  • West Des Moines, IA
  • NPI 1659904803

  Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD
• Iowa Behavioral Associates, LLC

  • Adult Mental Health Clinic/Center
  • West Des Moines, IA
  • NPI 1801631692

  Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1488326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759622400000",
    "number": "1851831499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 NW BOULDER BROOK DR",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500238725",
            "telephone_number": "515-423-7533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1960 SW MAGAZINE RD",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500232978",
            "telephone_number": "515-348-6380",
            "fax_number": "515-452-0565"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 48th St Ste 260",
            "address_purpose": "LOCATION",
            "city": "West Des Moines",
            "state": "IA",
            "postal_code": "502666726",
            "country_code": "US",
            "telephone_number": "515-398-6380",
            "fax_number": "515-452-0565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEESEMAN",
        "first_name": "LACEY",
        "middle_name": "RAE",
        "credential": "ARNP, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-01",
        "last_updated": "2025-10-05",
        "certification_date": "2025-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G178631",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A109462",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LACEY",
            "last_name": "COQUELIN",
            "middle_name": "RAE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Isabelle Rene Chaney, ARNP
• Thomas J. Chapa, MD
• Elizabeth Ann Chapman
• Megan Renee Chappell, MS OTR/L
• Rhiti Chatterjee, DDS
• Neelima Chennupati, MD
• Nithya Sai Chennupati
• Alisia M Cheville
• Chic Behavioral Health and Community Services
• Child and Family Vision Center, Inc.

• Psychiatric/Mental Health Nurse Practitioner in Ankeny, IA
• Providers in Ankeny, IA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2025; 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.