Lacey Wilson
NPI 1104646793 · Nurse Practitioner · Phoenix, AZ
Lacey Wilson is a Nurse Practitioner provider in Phoenix, AZ (NPI 1104646793).
Provider details
- NPI number
- 1104646793
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 315636 (AZ)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
1 yr in NPPES registry
- Profile completeness33% of score
100% of core fields populated
- Practice footprint20% of score
1 documented practice location
- Open Payments transparency13% of score
Has Open Payments disclosures (2024)
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$500 across 6 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-10-16
- Last updated
- 2024-10-16
- Certified
- 2024-10-16
Frequently asked questions
- What is Lacey Wilson's NPI number?
- Lacey Wilson's National Provider Identifier (NPI) is 1104646793, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Lacey Wilson's specialty?
- Lacey Wilson is listed in the NPPES registry with a primary specialty of Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Lacey Wilson located?
- Lacey Wilson's practice location on file with NPPES is 4859 N 20th St, Phoenix, AZ 85016-4707.
- What is Lacey Wilson's phone number?
- The practice phone number listed in the NPPES registry for Lacey Wilson is (602) 669-3850.
- Is Lacey Wilson's NPI active?
- Yes — Lacey Wilson's NPI (1104646793) is active in the NPPES registry as of the last update on 2024-10-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.