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Lacey N Wilson

Licensed Practical Nurse β€’ Marietta, OH

Active NPI 1578001855 Individual Practitioner Female Practitioner
Practice location in NPPES

701 Hildreth Ln
Marietta, OH 457501768

Call 7403717194 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

701 Hildreth Ln

Marietta, OH 457501768

Telephone 7403717194
Organization at the Same NPPES Address or Phone
Tony L Byler Md Llc Facility NPI 1407072481

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Compared with the same specialty in Marietta and Ohio

45 active clinicians are listed under Licensed Practical Nurse with a practice address in Marietta, OH (12,846 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Marietta

0% of these 45 clinicians have the CMS telehealth indicator.

0% of these 45 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-05-10
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

License # reported to NPPES OH LPN.126395.MEDS-IV

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

License # reported to NPPES OH 166983
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Kim Schaum , FNP-BC

Nurse Practitioner - Family

NPI 1760621742

Family Nurse Practitioner (Board Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
πŸ“
Updated Practice Location May 10, 2024

Registered at 701 HILDRETH LN, MARIETTA, OH 457501768 (Tel: 7403717194)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 10, 2024

Counselor (license number reported to NPPES: OH 166983)

πŸ“
Updated Practice Location February 22, 2021

Registered at 207D COLEGATE DR, MARIETTA, OH 457502363 (Tel: 7403760930)

πŸ“
Updated Business Mailing Address February 22, 2021

Registered at 207D COLEGATE DR, MARIETTA, OH 457502363 (Tel: 7403760930)

πŸ‘€
Provider Name / Credentials Updated February 22, 2021

Recorded as LACEY WILSON

βœ…
NPI Profile Active February 07, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 07, 2017

Registered at 418 COLEGATE DR, MARIETTA, OH 457509549 (Tel: 7403748730)

πŸ“
Business Mailing Address (Initial Record) February 07, 2017

Registered at 418 COLEGATE DR, MARIETTA, OH 457509549 (Tel: 7403748730)

πŸ‘€
Provider Name / Credentials (Initial Record) February 07, 2017

Recorded as LACEY WILSON, L.P.N.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 07, 2017

Licensed Practical Nurse (license number reported to NPPES: OH LPN.126395.MEDS-IV)

🟒
Initial NPI Registration & Enumeration February 07, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1578001855
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 07, 2017
Last Update: May 10, 2024
Sole Proprietor: No

Mailing Address

207d Colegate Dr

Marietta, OH 457502363

Phone: 7403760930

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.