Doctor profile · Federal record
Dr. Lacey Sullivan, FNP-BC
Nurse Practitioner · Family Nurse Practitioner · Bonne Terre, MO
- NPI 1174951503
- Accepts Medicare
- 13 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
7245 Raider RD Ste C
Bonne Terre, MO 636283767
(573) 358-4600
fax (573) 358-4654 - Mailing address
-
Po Box 957683
Saint Louis, MO 631957683
Credentials & registration
- NPI registered
- October 2013 — 13 yrs on file
- Profile last updated
- September 17, 2025
- Year of graduation
- 2013 — 13 yrs since
- Specialty taxonomy
- 363L00000X — NUCC code
- State license (1)
- Missouri #2013037701
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1174951503. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
103
Distinct HCPCS
3
Medicare allowed
$9,772
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 43 | 37 | $72 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 33 | 33 | $130 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 27 | 27 | $89 |
In context: peer comparison
Among 2 peers in Bonne Terre Nurse Practitioner, average services per provider: 54. This provider delivers 1.9× the peer median.Open Payments
Industry payments received
All-time total
$534
Transactions
31
Manufacturers
6
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Abbvie INC. | 17 | $305.33 | |
| Valinor Pharma, LLC | 9 | $144.43 | |
| Pfizer INC. | 2 | $28.03 | |
| Lilly USA, LLC | 1 | $19.66 | |
| Pacira Pharmaceuticals Incorporated | 1 | $18.58 | |
| Novo Nordisk INC | 1 | $18.30 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
1,338
Patients
308
Total drug cost
$53,281
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Gabapentin | Generic | 383 | 77 | $9,748 |
| Tizanidine Hcl | Generic | 187 | 50 | $2,679 |
| Cyclobenzaprine Hcl | Generic | 165 | 38 | $1,427 |
| Baclofen | Generic | 149 | 27 | $3,469 |
| Diclofenac Sodium | Generic | 67 | 18 | $3,113 |
| Amitriptyline Hcl | Generic | 66 | 12 | $1,815 |
| Prednisone | Generic | 57 | 49 | $178 |
| Celecoxib | Generic | 55 | 12 | $1,384 |
| Methocarbamol | Generic | 51 | 14 | $1,229 |
| Ropinirole Hcl | Generic | 46 | 11 | $611 |
Frequently asked questions
What is Dr. Lacey Sullivan's medical specialty?
Dr. Lacey Sullivan practices Nurse Practitioner in Bonne Terre, MO.
Where does Dr. Lacey Sullivan practice?
Dr. Lacey Sullivan practices at 7245 Raider RD Ste C, Bonne Terre, MO 636283767. Office phone: 5733584600.
What is Dr. Lacey Sullivan's NPI?
Dr. Lacey Sullivan's National Provider Identifier (NPI) is 1174951503, issued by NPPES.
Does Dr. Lacey Sullivan accept Medicare assignment?
Yes. Dr. Lacey Sullivan accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Lacey Sullivan commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213); New patient office or other outpatient visit (HCPCS 99204); New patient office or other outpatient visit (HCPCS 99203). Source: CMS Medicare Physician & Other Practitioners file.