MS. LACY MARIE ENGELSTAD (NP) – Nurse Practitioner, NPI 1427712181
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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
| Company | Amount |
|---|---|
| Amgen Inc. | $233 |
| AstraZeneca Pharmaceuticals LP | $186 |
| Janssen Biotech, Inc. | $155 |
| Lilly USA, LLC | $61 |
| Blueprint Medicines Corporation | $33 |
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220120002140 | I | Nurse Practitioner | ID | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 344 | 275 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 115 | 103 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 48 | 48 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 20 | 19 | $0 |
Insurance plans in this area (ZIP 83815)
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Group practice members
- 1
- 2
| Name | Specialty | State |
|---|---|---|
| H E M A T O L O G Y/ O N C O L O G Y | ID | |
| Nurse Practitioner | ID | |
| H E M A T O L O G Y/ O N C O L O G Y | ID | |
| Medical Oncology, Hematology/Oncology | ID | |
| Radiation Oncology | WA | |
| U R O L O G Y | MT | |
| - | ID | |
| Radiation Oncology | WA | |
| H E M A T O L O G Y/ O N C O L O G Y | VA | |
| R H E U M A T O L O G Y | ID |
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