Individual provider Active NPI

Lacey Lane Blessitt, FNP-BC

  • Family Nurse Practitioner
  • Ridgeland, MS
National Provider Identifier
1972864148
Registry record updated Oct 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
867653 Issued in MS
Practice address
1000 Highland Colony Pkwy Ste 5203
Ridgeland, MS 39157-2079
Phone
(855) 212-2273
Fax
(629) 240-6003
NPI assigned
Jun 5, 2012
Last updated
Oct 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R867653 MS
Family Nurse Practitioner 363LF0000X 867653 MS Primary

Addresses

Primary practice location

1000 Highland Colony Pkwy Ste 5203
Ridgeland, MS 39157-2079

Mailing address

5410 Maryland Way Ste 400
Brentwood, TN 37027-8087
Phone (855) 212-2273

Other practice location 1

840 N Oak Ave
Ruleville, MS 38771-3227
Phone (662) 756-4024

Other practice location 2

15 Campus Dr
Natchez, MS 39120-5364
Phone (601) 304-4375

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20240112000691 MS Practitioner - Nurse Practitioner 6800247909 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
867653MSMDFamily Nurse Practitioner
R867653MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Monogram Health Professional Services PC Family CurrentSince Jan 4, 2024 Accepting new patients
Alcorn State University CurrentSince Oct 6, 2019 Accepting new patients
Monogram Health Professional Services PC Family CurrentSince Jan 4, 2024 Accepting new patients

Locations

15 Campus Dr
Natchez, MS 39120
Phone (601) 304-4334

1000 Highland Colony Pkwy
Ste 5203
Ridgeland, MS 39157
Phone (601) 427-4734

5410 Maryland Way
Ste 400
Brentwood, TN 37027

Interoperability endpoints

  • Direct secure messaging: lacey.blessitt.1@22854.direct.athenahealth.com

Organizations & group practices 3

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": "1338854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793145600000",
    "number": "1972864148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5410 MARYLAND WAY STE 400",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370278087",
            "telephone_number": "855-212-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 HIGHLAND COLONY PKWY STE 5203",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391572079",
            "telephone_number": "855-212-2273",
            "fax_number": "629-240-6003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "840 N Oak Ave",
            "address_purpose": "LOCATION",
            "city": "Ruleville",
            "state": "MS",
            "postal_code": "387713227",
            "country_code": "US",
            "telephone_number": "662-756-4024",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15 Campus Dr",
            "address_purpose": "LOCATION",
            "city": "Natchez",
            "state": "MS",
            "postal_code": "391205364",
            "country_code": "US",
            "telephone_number": "601-304-4375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLESSITT",
        "first_name": "LACEY",
        "middle_name": "LANE",
        "name_prefix": "Ms.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-05",
        "last_updated": "2026-10-28",
        "certification_date": "2026-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R867653",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "867653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgeland, MS

Sources for this page

Verify at the official NPI Registry.