Lacey Wildeboer, PA
NPI 1477077089 · Physician Assistant · Kenly, NC
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lacey Wildeboer, PA is a Physician Assistant provider in Kenly, NC (NPI 1477077089).
Provider details
- NPI number
- 1477077089
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- 0010-07379 (NC)
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
8 yrs in NPPES registry
- Profile completeness33% of score
100% of core fields populated
- Practice footprint20% of score
2 documented practice locations
- 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.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 17 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Fluticasone/Umeclidin/Vilanterbrand: Trelegy Ellipta | 115 | 40 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 103 | 55 |
| Prednisone | 82 | 72 |
| Azithromycin | 54 | 50 |
| Budesonide/Glycopyr/Formoterolbrand: Breztri Aerosphere | 44 | 19 |
| Levofloxacin | 44 | 41 |
| Budesonide/Formoterol Fumarate |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$125 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
Additional practice locations (1)
- 7201 US Highway 64 EKnightdale, NC 27545-9268Phone: (919) 266-7600
Registry dates
- Enumerated
- 2017-07-26
- Last updated
- 2025-10-03
- Certified
- 2025-10-03
Frequently asked questions
- What is Lacey Wildeboer's NPI number?
- Lacey Wildeboer's National Provider Identifier (NPI) is 1477077089, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Lacey Wildeboer's specialty?
- Lacey Wildeboer is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Lacey Wildeboer located?
- Lacey Wildeboer's practice location on file with NPPES is 400 N Englewood Dr, Kenly, NC 27542-9290.
- What is Lacey Wildeboer's phone number?
- The practice phone number listed in the NPPES registry for Lacey Wildeboer is (919) 284-4149.
- Does Lacey Wildeboer accept Medicare?
- Lacey Wildeboer is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Lacey Wildeboer's NPI active?
- Yes — Lacey Wildeboer's NPI (1477077089) is active in the NPPES registry as of the last update on 2025-10-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.