LACEY RICHELLE GULLEY – Family Nurse Practitioner, NPI 1396590261

LACEY RICHELLE GULLEY is a healthcare provider. based in Ashland, Kentucky. specializing in NURSE PRACTITIONER. They hold a License No. 4017749 (KY). The NPI Number for LACEY RICHELLE GULLEY is 1396590261

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
LACEY RICHELLE GULLEY
NPI
1396590261
Phone
(606) 329-1890
Address
1480 CARTER AVE
Enumeration Date
23 April 2024
Last Update Date
9 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7405328841
Graduation Year
2023 (3 years ago)
PAC ID
8729520283
Group Practice PAC ID
0042242950
Professional Enrollment ID
I20241016003727
Address ID
OH456382476IR2029XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

7,343 NURSE PRACTITIONER in KY

Provider Addresses for LACEY RICHELLE GULLEY

  • 1480 CARTER AVE

    ASHLAND, KY 411017546

    Phone: (606) 329-1890

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-10-16

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
I20240612000733INurse PractitionerKYTBD
I20241016003727INurse PractitionerOHTBD

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 41101)

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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: 0042242950View full group profile
NameSpecialtyState
-OH
-KY
Nurse PractitionerKY
Nurse PractitionerKY

Reviews

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Frequently asked questions

What number should I use to identify LACEY RICHELLE GULLEY for billing?
Administrative and clinical systems typically use NPI 1396590261 for LACEY RICHELLE GULLEY.
Should I treat LACEY RICHELLE GULLEY as an active provider?
Patients and plans typically see LACEY RICHELLE GULLEY as active in the national extract.
What does the directory say LACEY RICHELLE GULLEY does?
Insurance directories may phrase it differently, but here LACEY RICHELLE GULLEY maps to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is LACEY RICHELLE GULLEY tied to Ashland, Kentucky?
If you are local to Ashland, Kentucky, LACEY RICHELLE GULLEY may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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