LACEY APPACHU (NP) – Nurse Practitioner, NPI 1124850649

LACEY APPACHU (NP) is a healthcare provider. based in Mesa, Arizona. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 235223 (AZ). The NPI Number for LACEY APPACHU (NP) is 1124850649

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
LACEY APPACHU (NP)
NPI
1124850649
Phone
Not provided
Address
1400 S DOBSON RD
Enumeration Date
14 August 2024
Last Update Date
12 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4806612662
Graduation Year
2024 (2 years ago)
PAC ID
1456892744
Group Practice PAC ID
5092863852
Professional Enrollment ID
I20240926002944
Address ID
AZ852556703SC17300DRXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience31
Completeness85
Years active:1State licenses:1Digital endpointsOther names

7,509 NURSE PRACTITIONER in AZ

Provider Addresses for LACEY APPACHU (NP)

  • 1400 S DOBSON RD

    MESA, AZ 852024707

    Phone:

    Type: Mailing

  • 1520 S DOBSON RD STE 206

    MESA, AZ 852024753

    Phone: (480) 412-8080

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 30 Open Payments records for all available years, with a total value of $761.

Total Amount is formed as General ($761) + Research ($0) + Ownership ($0) = $761.

Last reported payment date: 2024-12-27 • Largest payer in this snapshot: Progenics Pharmaceuticals, Inc. ($193).

Total Amount

$761

General + Research + Ownership

Payments

30

Total payment records

General Amount

$761

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-27

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-09-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240926002944INurse PractitionerAZTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 85202)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5092863852View full group profile
NameSpecialtyState
U R O L O G YAZ
Nurse PractitionerMD
U R O L O G YAZ
U R O L O G YAZ
Nurse PractitionerMD
H E M A T O L O G Y/ O N C O L O G YMD
-AZ
Nurse PractitionerMD
Physician AssistantAZ
Physician AssistantMD

Reviews

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Frequently asked questions

What unique ID ties claims to LACEY APPACHU (NP)?
NPI 1124850649 is assigned to LACEY APPACHU (NP) under the national enumeration system.
Is LACEY APPACHU (NP)'s NPI currently valid?
The extract we use shows LACEY APPACHU (NP) as active.
What field does LACEY APPACHU (NP) work in?
You can think of LACEY APPACHU (NP) as practicing within Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place LACEY APPACHU (NP)?
The snapshot lists Mesa, Arizona for LACEY APPACHU (NP); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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