Lacey Darlene Lake Foreman, CRNP in Golden Valley, MN

Lacey Darlene Lake Foreman, CRNP is a medicare enrolled "Nurse Practitioner" in Golden Valley, Minnesota. She graduated from nursing school in 2017 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Ars Treatment Centers Pc and her current practice location is 820 Lilac Dr N Ste 210, Golden Valley, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 205-3600.

Lacey Darlene Lake Foreman is licensed to practice in Minnesota (license number 13651) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1922510635.

Contact Information

	Lacey Darlene Lake Foreman, CRNP
	820 Lilac Dr N Ste 210, Golden Valley, MN 55422-4754
	(763) 205-3600
	Not Available

Map and Direction

Provider's Profile

Full Name	Lacey Darlene Lake Foreman
Gender	Female
Speciality	Nurse Practitioner
Experience	9 Years
Location	820 Lilac Dr N Ste 210, Golden Valley, Minnesota
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Lacey Darlene Lake Foreman graduated from nursing school in 2017

NPI Data:

NPI Number: 1922510635
Provider Enumeration Date: 11/03/2017
Last Update Date: 12/09/2025

Medicare PECOS Information:

PECOS PAC ID: 2860750528
Enrollment ID: I20250409000112

Medical Identifiers

Medical identifiers for Lacey Darlene Lake Foreman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922510635	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	17742-33 (Wisconsin)	Secondary
363L00000X	Nurse Practitioner	SP018060 (Pennsylvania)	Secondary
363L00000X	Nurse Practitioner	13651 (Minnesota)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ars Treatment Centers Pc	0042568131	89

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Lacey Darlene Lake Foreman allows following entities to bill medicare on her behalf.

Entity Name	Ars Treatment Centers Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346731171 PECOS PAC ID: 0042568131 Enrollment ID: O20180807000056

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lacey Darlene Lake Foreman is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Lacey Darlene Lake Foreman, CRNP 2843 State Route 31, Acme, PA 15610-1371 Ph: (724) 875-7632	Lacey Darlene Lake Foreman, CRNP 820 Lilac Dr N Ste 210, Golden Valley, MN 55422-4754 Ph: (763) 205-3600

Reviews and Comments

Nurse Practitioner Nurses in Golden Valley, MN

Samantha Jo Graf, DNP, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 820 Lilac Dr N Ste 140, Golden Valley, MN 55422 Phone: 763-465-0500
Christine Sharon Habiger, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 820 Lilac Dr N Ste 140, Golden Valley, MN 55422 Phone: 763-465-0500
Stephanie Nechole Sweezy, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1415 Lilac Dr N Ste 190, Golden Valley, MN 55422 Phone: 612-207-0124
Jessicah Gabrielson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1415 Lilac Dr N Ste 190, Golden Valley, MN 55422 Phone: 763-267-8701
Dr. Jenneh Kotay Gbehan, DNP-FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4825 Olson Memorial Hwy, Golden Valley, MN 55422 Phone: 763-496-5708
Kellie Lynn Leblanc, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 700 Decatur Ave North, Ste 109, Golden Valley, MN 55427 Phone: 612-682-4912 Fax: 612-682-4914
Cheyenne Freudenrich, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1415 Lilac Dr N Ste 190, Golden Valley, MN 55422 Phone: 763-267-8701

Lacey Darlene Lake Foreman, CRNP - Medicare Nurse Practitioner in Golden Valley, MN