Mrs Lacey Sullivan, FNP-BC - Medicare Nurse Practitioner in Bonne Terre, MO

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Mrs Lacey Sullivan, FNP-BC is a medicare enrolled "Nurse Practitioner" in Bonne Terre, Missouri. She graduated from nursing school in 2013 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Xiaohui's Medical, Llc, Ste Genevieve County Memorial Hospital and her current practice location is 7245 Raider Rd Ste C, Bonne Terre, Missouri. You can reach out to her office (for appointments etc.) via phone at (573) 358-4600.

Mrs Lacey Sullivan is licensed to practice in Missouri (license number 2013037701) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1174951503.

Contact Information

Mrs Lacey Sullivan, FNP-BC
7245 Raider Rd Ste C,
Bonne Terre, MO 63628-3767
(573) 358-4600
(573) 358-4654

Map and Direction




Provider's Profile

Full NameMrs Lacey Sullivan
GenderFemale
SpecialityNurse Practitioner
Experience12 Years
Location7245 Raider Rd Ste C, Bonne Terre, Missouri
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Lacey Sullivan graduated from nursing school in 2013
  NPI Data:
  • NPI Number: 1174951503
  • Provider Enumeration Date: 10/22/2013
  • Last Update Date: 09/17/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 5395973697
  • Enrollment ID: I20140113001307

Medical Identifiers

Medical identifiers for Mrs Lacey Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174951503NPI-NPPES
2013037701OtherMOFNP LICENSE
2013017822OtherMOANCC
2008021920OtherMORN LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 2013037701 (Missouri)Primary
363LF0000XNurse Practitioner - Family 2013037701 (Missouri)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ste Genevieve County Memorial HospitalSainte genevieve, MOHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Xiaohui's Medical, Llc21635517144
Ste Genevieve County Memorial Hospital327443280273

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. Mrs Lacey Sullivan allows following entities to bill medicare on her behalf.
Entity NameSte Genevieve County Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184658387
PECOS PAC ID: 3274432802
Enrollment ID: O20040102000645
Entity NameSte Genevieve County Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619026580
PECOS PAC ID: 3274432802
Enrollment ID: O20040204000815
Entity NameSte Genevieve County Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730238551
PECOS PAC ID: 3274432802
Enrollment ID: O20040310001286
Entity NameSte Genevieve County Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073587655
PECOS PAC ID: 3274432802
Enrollment ID: O20040312000516
Entity NameMineral Area Pain Center Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417973660
PECOS PAC ID: 0244211605
Enrollment ID: O20040601000488
Entity NameSte Genevieve County Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801817416
PECOS PAC ID: 3274432802
Enrollment ID: O20040617000089
Entity NameSte Genevieve County Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992875249
PECOS PAC ID: 3274432802
Enrollment ID: O20071010000232
Entity NameXiaohui's Medical, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518297977
PECOS PAC ID: 2163551714
Enrollment ID: O20100520000459

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. Mrs Lacey Sullivan 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 AddressPractice Location Address
Mrs Lacey Sullivan, FNP-BC
Po Box 957683,
Saint Louis, MO 63195-7683

Ph: (573) 358-4600		Mrs Lacey Sullivan, FNP-BC
7245 Raider Rd Ste C,
Bonne Terre, MO 63628-3767

Ph: (573) 358-4600

Reviews and Comments


Nurse Practitioner Nurses in Bonne Terre, MO

Ms. Mary Suzanne Jones, FNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2727 Highway K, Bonne Terre, MO 63628
Phone: 573-358-5516    
Rachel Ann Francis, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 55 Nesbit Dr, Bonne Terre, MO 63628
Phone: 573-358-1700    Fax: 573-358-1702
Mrs. Ann Mirette Kirby, PMHNP-BC
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 11 S Division St Ste A, Bonne Terre, MO 63628
Phone: 573-723-1100    Fax: 573-723-1130
Glenda Charlene Counts, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 11 S Division St Ste A, Bonne Terre, MO 63628
Phone: 573-723-1100    Fax: 573-723-1130
Mrs. Ronay Rodgers, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 527 Benham St, Bonne Terre, MO 63628
Phone: 573-358-9119    Fax: 573-358-9489
Melody Kay Willis, MSN, RN, PMHNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1857 Rue Lamande, Bonne Terre, MO 63628
Phone: 573-300-2690    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.