LACEY DARLENE LAKE FOREMAN (CRNP) – Nurse Practitioner, NPI 1922510635
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,035 NURSE PRACTITIONER in WI
Provider Addresses for LACEY DARLENE LAKE FOREMAN (CRNP)
2263 Eastridge Ctr
Eau Claire, WI 547013410
Phone: (715) 800-0900
Type: Location
117, Edinboro Drive, Greensburg, Westmoreland County, Pennsylvania, 15601, United States
GREENSBURG, PA 15601
Phone: (724) 875-7632
Type: Mailing
3520 ROUTE 130 BLDG 3
IRWIN, PA 156421438
Phone: (724) 744-1408
Type: Location
2843 STATE ROUTE 31
ACME, PA 156101371
Phone: (724) 875-7632
Type: Mailing
820 LILAC DR N STE 210
GOLDEN VALLEY, MN 554224754
Phone: (763) 205-3600
Type: Location
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: 2025-04-09
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 |
|---|---|---|---|---|
| I20250409000112 | I | Nurse Practitioner | PA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 54701)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | PA | |
| Nurse Practitioner | PA | |
| Physical Medicine And Rehabilitation, Internal Medicine, Pain Management | PA | |
| - | AZ | |
| Nurse Practitioner | NY | |
| Nurse Practitioner | NH | |
| Nurse Practitioner | TX | |
| - | PA | |
| - | PA | |
| Family Practice | PA |
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