Nicole Bowden Lacy, NP-C - Medicare Nurse Practitioner in Collierville, TN

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Nicole Bowden Lacy, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Collierville, Tennessee. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Baptist Memorial Medical Group, Inc. and her current practice location is 1500 W Poplar Ave Ste 202, Collierville, Tennessee. You can reach out to her office (for appointments etc.) via phone at (901) 861-9090.

Nicole Bowden Lacy is licensed to practice in Tennessee (license number 30555) 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 1881359271.

Contact Information

Nicole Bowden Lacy, NP-C
1500 W Poplar Ave Ste 202,
Collierville, TN 38017-0601
(901) 861-9090
Not Available

Map and Direction




Provider's Profile

Full NameNicole Bowden Lacy
GenderFemale
SpecialityNurse Practitioner
Experience3 Years
Location1500 W Poplar Ave Ste 202, Collierville, Tennessee
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:
  • Nicole Bowden Lacy graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1881359271
  • Provider Enumeration Date: 11/01/2021
  • Last Update Date: 01/26/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9436548484
  • Enrollment ID: I20211111002433

Medical Identifiers

Medical identifiers for Nicole Bowden Lacy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1881359271NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 30555 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Baptist Memorial HospitalMemphis, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Baptist Memorial Medical Group, Inc.5193610228432

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. Nicole Bowden Lacy allows following entities to bill medicare on her behalf.
Entity NameBaptist Memorial Medical Group, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306089206
PECOS PAC ID: 5193610228
Enrollment ID: O20040218000385
Entity NameThe Little Clinic Of Tennessee Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487848800
PECOS PAC ID: 4688762800
Enrollment ID: O20080326000339

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. Nicole Bowden Lacy 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
Nicole Bowden Lacy, NP-C
965 Ridge Lake Blvd,
Memphis, TN 38120-9401

Ph: (901) 227-4692		Nicole Bowden Lacy, NP-C
1500 W Poplar Ave Ste 202,
Collierville, TN 38017-0601

Ph: (901) 861-9090

Reviews and Comments


Nurse Practitioner Nurses in Collierville, TN

Amanda Wilson, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 472 W Poplar Ave, 101, Collierville, TN 38017
Phone: 901-854-5771    
Richard Albert Keenan Jr., FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1500 W Poplar Ave Ste 206, Collierville, TN 38017
Phone: 901-861-8484    Fax: 901-861-8489
Candace Harris, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1204 W Poplar Ave, Suite 102, Collierville, TN 38017
Phone: 901-610-3135    
Heather Jones Boals, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 458 Old Oak Ln, Collierville, TN 38017
Phone: 901-275-0630    
Mrs. Susan D Earl, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 890 W Poplar Ave Ste 6, Collierville, TN 38017
Phone: 901-221-8621    Fax: 901-221-8631
Kate Weeden Snyder, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 526 Halle Park Dr, Collierville, TN 38017
Phone: 901-910-3246    Fax: 901-316-5427
Shelia A Harden,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 240 New Byhalia Rd, Collierville, TN 38017
Phone: 662-512-8682    

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.