Individual provider Active NPI

Melinda Michelle Lacy, RN, FNP-BC

  • Family Nurse Practitioner
  • Harrisonville, MO
National Provider Identifier
1982005146
Registry record updated Sep 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2014031475 Issued in MO
Practice address
2820 E Rock Haven Rd Ste 210
Harrisonville, MO 64701-4414
Phone
(816) 380-7470
Fax
(816) 380-3291
NPI assigned
Sep 8, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2014

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 2014031475 MO Primary

Addresses

Primary practice location

2820 E Rock Haven Rd Ste 210
Harrisonville, MO 64701-4414

Mailing address

2820 E Rock Haven Rd Ste 210
Harrisonville, MO 64701-4414
Phone (816) 380-7470

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20141008001912 MO Practitioner - Nurse Practitioner 6800016163 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cass Regional Medical CenterGroup PAC ID 7517853781, 44 clinicians

Practice addresses (Care Compare)

2800 E Rock Haven Rd
Harrisonville, MO 64701-4411
Phone (816) 380-5888

Hospital & facility affiliations

  • Cass Regional Medical Center Hospital, Harrisonville, MO, CCN 261324

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2014031475MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cass Regional Medical Center CurrentSince Sep 4, 2014 Accepting new patients
Cass Regional Medical Center CurrentSince Sep 4, 2014 Accepting new patients

Locations

2800 E Rock Haven Rd
Harrisonville, MO 64701
Phone (816) 380-3474

2820 E Rock Haven Rd
Ste 210
Harrisonville, MO 64701
Phone (816) 380-7470

Interoperability endpoints

  • Direct secure messaging: melinda.lacy@cassregional.direct-ci.com

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1410134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410134400000",
    "number": "1982005146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 E ROCK HAVEN RD STE 210",
            "city": "HARRISONVILLE",
            "state": "MO",
            "postal_code": "647014414",
            "telephone_number": "816-380-7470",
            "fax_number": "816-380-3291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 E ROCK HAVEN RD STE 210",
            "city": "HARRISONVILLE",
            "state": "MO",
            "postal_code": "647014414",
            "telephone_number": "816-380-7470",
            "fax_number": "816-380-3291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACY",
        "first_name": "MELINDA",
        "middle_name": "MICHELLE",
        "credential": "RN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-08",
        "last_updated": "2014-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2014031475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisonville, MO

Sources for this page

Verify at the official NPI Registry.