LACEY ETIENNE NEUFELD (DNP, FNP-BC) – Acute Care Nurse Practitioner, NPI 1053919258

LACEY ETIENNE NEUFELD (DNP, FNP-BC) is a healthcare provider. based in Placerville, California. specializing in NURSE PRACTITIONER. They hold the professional credentials DNP, FNP-BC. They hold a License No. 95016625 (CA). The NPI Number for LACEY ETIENNE NEUFELD (DNP, FNP-BC) is 1053919258

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
LACEY ETIENNE NEUFELD (DNP, FNP-BC)
NPI
1053919258
Phone
(530) 626-2920
Address
1095 MARSHALL WAY # 100
Enumeration Date
12 October 2020
Last Update Date
20 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9169056378
Graduation Year
2020 (6 years ago)
PAC ID
4789091703
Group Practice PAC ID
7517875859
Professional Enrollment ID
I20210318001047
Address ID
CA957627100EL4201XBLVD401
Telehealth
Yes

Contacts

Main Contact
marshallmedical.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness85
Years active:5State licenses:1Other namesUpdated within 12 months

16,360 NURSE PRACTITIONER in CA

Provider Addresses for LACEY ETIENNE NEUFELD (DNP, FNP-BC)

  • 1095 MARSHALL WAY # 100

    PLACERVILLE, CA 956675722

    Phone: (530) 626-2920

    Type: Location

  • 12655 BARKSDALE WAY

    RANCHO CORDOVA, CA 957427817

    Phone: (209) 728-4334

    Type: Mailing

  • MARSHALL TRANSITIONAL CARE UNIT

    1100 MARSHALL WAY

    PLACERVILLE, CA 95667

    Phone: (530) 622-1441

    Type: Location

  • 1040 MARSHALL WAY

    PLACERVILLE, CA 956675706

    Phone: (530) 622-3400

    Type: Location

  • 4793 GRESHAM DR

    EL DORADO HILLS, CA 957627700

    Phone: (530) 622-3400

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 48 Open Payments records for all available years, with a total value of $1,003.

Total Amount is formed as General ($1,003) + Research ($0) + Ownership ($0) = $1,003.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Exact Sciences Corporation ($371).

Total Amount

$1,003

General + Research + Ownership

Payments

48

Total payment records

General Amount

$1,003

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2021-03-18

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
I20210318001047INurse PractitionerCATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes489329$0
99213Established patient office or other outpatient visit, 20-29 minutes328267$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit7070$0
99496Transitional care management services for problem of high complexity4241$0
G0438Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit4242$0
View full utilization report →

Insurance plans in this area (ZIP 95667)

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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: 7517875859View full group profile
NameSpecialtyState
-CA
-CA
O B S T E T R I C S/ G Y N E C O L O G YCA
-CA
Orthopedic SurgeryCA
Internal MedicineCA
Family Practice, Addiction Medicine, Emergency Medicine, Preventive MedicineCA
G A S T R O E N T E R O L O G YCA
Nurse PractitionerCA
-CA

Reviews

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Frequently asked questions

Can I verify LACEY ETIENNE NEUFELD (DNP, FNP-BC) with an NPI only?
You can start verification with NPI 1053919258 for LACEY ETIENNE NEUFELD (DNP, FNP-BC), then check state licensing separately.
Does CMS list LACEY ETIENNE NEUFELD (DNP, FNP-BC) as active?
Yes — LACEY ETIENNE NEUFELD (DNP, FNP-BC) is active in the NPI listing used on this page.
What healthcare role does LACEY ETIENNE NEUFELD (DNP, FNP-BC) hold?
Scheduling teams often label LACEY ETIENNE NEUFELD (DNP, FNP-BC) under Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does LACEY ETIENNE NEUFELD (DNP, FNP-BC) list a practice location?
Patients near Placerville, California may find LACEY ETIENNE NEUFELD (DNP, FNP-BC) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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