Doctor profile · Federal record
Dr. Lacey Wildeboer, PA
Physician Assistant · Kenly, NC
- NPI 1477077089
- Accepts Medicare
- 9 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
400 N Englewood Dr
Kenly, NC 275429290
(919) 284-4149
fax (919) 284-6008 - Additional location
-
7201 US Highway 64 E
Knightdale, NC 275459268
(919) 266-7600 - Mailing address
-
5221 Paramount Pkwy Ste 220
Morrisville, NC 275605490
Credentials & registration
- NPI registered
- July 2017 — 9 yrs on file
- Profile last updated
- October 3, 2025
- Year of graduation
- 2017 — 9 yrs since
- Specialty taxonomy
- 363A00000X — NUCC code
- State license (1)
- North Carolina #0010-07379
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1477077089. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
31
Distinct HCPCS
2
Medicare allowed
$2,499
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 18 | 18 | $73 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 13 | 13 | $91 |
In context: peer comparison
Among 1 peers in Kenly Physician Assistant, average services per provider: 15. This provider delivers 2.1× the peer median.Open Payments
Industry payments received
All-time total
$125
Transactions
6
Manufacturers
4
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Genzyme Corporation | 2 | $46.42 | |
| Regeneron Healthcare Solutions, INC. | 2 | $37.80 | |
| Vifor Pharma, INC. | 1 | $26.30 | |
| Mylan Specialty L.P. | 1 | $14.52 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
13
Patients
13
Total drug cost
$112
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amoxicillin-Clavulanate Potass (Amoxicillin/Potassium Clav) | Brand | 13 | 13 | $112 |
Hospital affiliations
Frequently asked questions
What is Dr. Lacey Wildeboer's medical specialty?
Dr. Lacey Wildeboer practices Physician Assistant in Kenly, NC.
Where does Dr. Lacey Wildeboer practice?
Dr. Lacey Wildeboer practices at 400 N Englewood Dr, Kenly, NC 275429290. Office phone: 9192844149.
What is Dr. Lacey Wildeboer's NPI?
Dr. Lacey Wildeboer's National Provider Identifier (NPI) is 1477077089, issued by NPPES.
Does Dr. Lacey Wildeboer accept Medicare assignment?
Yes. Dr. Lacey Wildeboer accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Lacey Wildeboer 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 99203). Source: CMS Medicare Physician & Other Practitioners file.