Individual provider Active NPI

Lacey Russell, ACNP

  • Acute Care Nurse Practitioner
  • Monroe, LA
National Provider Identifier
1962809608
Registry record updated Jan 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP07536 Issued in LA
Practice address
2600 Tower Dr Ste 304
Monroe, LA 71201-5783
Phone
(318) 966-6320
Fax
(318) 966-6321
NPI assigned
Nov 24, 2014
Last updated
Jan 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2026

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 AP07536 LA Primary

Addresses

Primary practice location

2600 Tower Dr Ste 304
Monroe, LA 71201-5783

Mailing address

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (318) 966-6320

Other practice location 1

503 McMillan Rd
West Monroe, LA 71291-5327
Phone (318) 329-4200

Other practice location 2

309 Jackson St
Monroe, LA 71201-7407
Phone (318) 966-4000

Other identifiers 1

IdentifierTypeStateIssuer
2521543MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200228001076 LA Practitioner - Nurse Practitioner 4688001894 Reassigns benefits to 2 organizations
I20260330002167 FL Practitioner - Nurse Practitioner 4688001894 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

159 Northwood Dr
West Monroe, LA 71291-1674

18436 Hawthorne Blvd
Suite 210
Torrance, CA 90504-4541

601 Neptune Ave
Encinitas, CA 92024-2022

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP07536LAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Medical Health Center CurrentSince Sep 20, 2021 Accepting new patients
St Francis Medical Group LLC CurrentSince Sep 8, 2025 Accepting new patients
Mercy Medical Health Center CurrentSince Sep 20, 2021 Accepting new patients
St Francis Medical Center, Inc CurrentSince Sep 8, 2025 Accepting new patients
St. Francis Medical Center, Inc. CurrentSince Sep 8, 2025 Accepting new patients
St Francis Medical Center, Inc Past Accepting new patients
James S Finley MD a Professional Medical Corporation PastSince Jan 31, 2020 Accepting new patients

Locations

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816
Phone (225) 526-0011

4633 Quitman Hwy
Hodge, LA 71247
Phone (318) 259-1100

244 Bond St
Jonesboro, LA 71251
Phone (318) 259-1100

2600 Tower Dr
Ste 304
Monroe, LA 71201
Phone (318) 966-6320

309 Jackson St
Monroe, LA 71201
Phone (318) 966-4000

312 Grammont St
Ste 302
Monroe, LA 71201
Phone (318) 323-6603

517 Catalpa St
Monroe, LA 71201
Phone (318) 966-6500

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17704/brand/1/csg/1/fhir/r4

Organizations & group practices 9

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": "1416787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769731200000",
    "number": "1962809608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 S SHERWOOD FOREST BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708166038",
            "telephone_number": "318-966-6320",
            "fax_number": "225-765-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 TOWER DR STE 304",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712015783",
            "telephone_number": "318-966-6320",
            "fax_number": "318-966-6321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "503 McMillan Rd",
            "address_purpose": "LOCATION",
            "city": "West Monroe",
            "state": "LA",
            "postal_code": "712915327",
            "country_code": "US",
            "telephone_number": "318-329-4200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "309 Jackson St",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "LA",
            "postal_code": "712017407",
            "country_code": "US",
            "telephone_number": "318-966-4000",
            "fax_number": "318-966-7359",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "LACEY",
        "credential": "ACNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-24",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "LA",
            "license": "AP07536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2521543",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

Verify at the official NPI Registry.