MS. LACY MARIE ENGELSTAD (NP) – Nurse Practitioner, NPI 1427712181

MS. LACY MARIE ENGELSTAD (NP) is a healthcare provider. based in Coeur d alene, Idaho. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 70390 (ID). The NPI Number for MS. LACY MARIE ENGELSTAD (NP) is 1427712181

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
MS. LACY MARIE ENGELSTAD (NP)
NPI
1427712181
Phone
(208) 758-0920
Address
3815 N SCHREIBER WAY STE 101
Enumeration Date
28 October 2021
Last Update Date
16 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2087552804
Graduation Year
2021 (5 years ago)
PAC ID
9133511348
Group Practice PAC ID
6901158773
Professional Enrollment ID
I20220120002140
Address ID
ID838158434CO3815XWAYX410
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

1,802 NURSE PRACTITIONER in ID

Provider Addresses for MS. LACY MARIE ENGELSTAD (NP)

  • 3815 N SCHREIBER WAY STE 101

    COEUR D ALENE, ID 838158362

    Phone: (208) 758-0920

    Fax: (208) 765-0277

    Type: Mailing

  • 3815 N Schreiber Way Ste 101

    Coeur D Alene, ID 838158362

    Phone: (208) 758-0920

    Fax: (208) 765-0277

    Type: Location

  • 2003 KOOTENAI HEALTH WAY

    COEUR D ALENE, ID 838146051

    Phone: (208) 625-4950

    Fax: (208) 625-4951

    Type: Mailing

  • 1701 LINCOLN WAY

    COEUR D ALENE, ID 838142537

    Phone: (208) 625-4950

    Fax: (208) 625-4951

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 42 Open Payments records for all available years, with a total value of $825.

Total Amount is formed as General ($825) + Research ($0) + Ownership ($0) = $825.

Last reported payment date: 2024-12-02 • Largest payer in this snapshot: Amgen Inc. ($233).

Total Amount

$825

General + Research + Ownership

Payments

42

Total payment records

General Amount

$825

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-02

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: 2022-01-20

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
I20220120002140INurse PractitionerIDTBD

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 minutes344275$0
99213Established patient office or other outpatient visit, 20-29 minutes115103$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit4848$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only2019$0
View full utilization report →

Insurance plans in this area (ZIP 83815)

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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: 6901158773View full group profile
NameSpecialtyState
H E M A T O L O G Y/ O N C O L O G YID
Nurse PractitionerID
H E M A T O L O G Y/ O N C O L O G YID
Medical Oncology, Hematology/OncologyID
Radiation OncologyWA
U R O L O G YMT
-ID
Radiation OncologyWA
H E M A T O L O G Y/ O N C O L O G YVA
R H E U M A T O L O G YID

Reviews

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Frequently asked questions

Does MS. LACY MARIE ENGELSTAD (NP) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MS. LACY MARIE ENGELSTAD (NP) uses 1427712181.
Does the file indicate MS. LACY MARIE ENGELSTAD (NP) is practicing under active NPI?
Directory data currently reports MS. LACY MARIE ENGELSTAD (NP) as active.
What is MS. LACY MARIE ENGELSTAD (NP)'s specialty?
The listing groups MS. LACY MARIE ENGELSTAD (NP) with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is MS. LACY MARIE ENGELSTAD (NP) based?
MS. LACY MARIE ENGELSTAD (NP) is tied to Coeur D Alene, Idaho in the data we show; additional addresses may exist on the full record.
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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