MS. LACY SMITH (FNP-BC, PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1992358378

MS. LACY SMITH (FNP-BC, PMHNP-BC) is a healthcare provider. based in Liberal, Kansas. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC, PMHNP-BC. They hold a License No. 216289 (OK). The NPI Number for MS. LACY SMITH (FNP-BC, PMHNP-BC) is 1992358378

Main info

Female
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
MS. LACY SMITH (FNP-BC, PMHNP-BC)
NPI
1992358378
Phone
(620) 604-5274
Address
504 N KANSAS AVE STE B1
Enumeration Date
24 July 2019
Last Update Date
5 May 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6206492505
Graduation Year
2019 (7 years ago)
PAC ID
5193143121
Professional Enrollment ID
I20200908002311
Address ID
KS678707009SA26784GXXX300
Telehealth
Yes
Data current as of
3 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness85
Years active:6State licenses:3Digital endpointsOther names

3,551 NURSE PRACTITIONER in KS

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Provider Addresses for MS. LACY SMITH (FNP-BC, PMHNP-BC)

  • North Kansas Avenue, Liberal, Seward County, Kansas, 67901, United States

    LIBERAL, KS 679013346

    Phone: (620) 604-5274

    Fax: (844) 704-5822

    Type: Mailing

  • 100 W Chouteau Ave

    Sublette, KS 678776738

    Phone: (620) 649-2505

    Fax: (669) 204-0329

    Type: Location

  • 8101 COLLEGE BLVD STE 130

    OVERLAND PARK, KS 662102793

    Phone: (620) 649-2505

    Fax: (669) 204-0329

    Type: Mailing

  • 6203 E OXFORD ST

    WICHITA, KS 672205522

    Phone: (620) 649-2505

    Fax: (669) 204-0329

    Type: Location

  • PO BOX 178

    SATANTA, KS 678700178

    Phone: (620) 649-2505

    Fax: (669) 204-0329

    Type: Mailing

  • 1031 N KANSAS AVE

    LIBERAL, KS 679012644

    Phone: (620) 649-2505

    Fax: (669) 204-0329

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $144.

Total Amount is formed as General ($144) + Research ($0) + Ownership ($0) = $144.

Last reported payment date: 2024-05-16 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($111).

Total Amount

$144

General + Research + Ownership

Payments

3

Total payment records

General Amount

$144

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-16

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: 2024-05-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20200908002311INurse PractitionerKSTBD
I20240529000990INurse PractitionerOKTBD

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 67901)

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Reviews

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Frequently asked questions

What identifier follows MS. LACY SMITH (FNP-BC, PMHNP-BC) across health systems?
The NPI 1992358378 uniquely identifies MS. LACY SMITH (FNP-BC, PMHNP-BC) in U.S. healthcare data.
Is MS. LACY SMITH (FNP-BC, PMHNP-BC) currently accepting referrals based on NPI status?
Registry metadata lists MS. LACY SMITH (FNP-BC, PMHNP-BC) as active.
Which specialty label fits MS. LACY SMITH (FNP-BC, PMHNP-BC)?
NPPES ties MS. LACY SMITH (FNP-BC, PMHNP-BC) to Psychiatric/Mental Health Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MS. LACY SMITH (FNP-BC, PMHNP-BC)?
MS. LACY SMITH (FNP-BC, PMHNP-BC) is associated with Liberal, Kansas in the same public data insurers reference.
Who maintains MS. LACY SMITH (FNP-BC, PMHNP-BC)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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