Lacy Rose Wagner , PA
Physician Assistant • Boise, ID
This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.
Professional Overview & Biography Verified Profile Summary
Lacy Wagner, PA is a registered Physician Assistant practitioner in Boise, ID. With approximately 5 years of clinical practice since completing medical education in 2021, Lacy Wagner provides healthcare services at the registered practice location at 6051 W EMERALD ST.
Lacy Wagner is affiliated with Saint Alphonsus Regional Medical Center Inc and accepts Medicare assignment.
Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.
Practice Location & Contact Primary Location
6051 W Emerald St
Boise, ID 837048969
Medicare Profile & Education
Other
2021
✓ Accepts Assignment
In-Person Only
Specialty Benchmarks & Practice Insights
Comparative analytics for Physician Assistant in Boise, ID
Practicing in Boise, ID (1261 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Clinical Seniority & Experience Comparison
Performed Procedures & Service Volume
Top Medicare Part B procedures performed by this practitioner
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
99213
Established patient office or other outpatient visit, typically 15 minutes
|
57 | 54 | $74.00 | $51.53 |
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
13 | 13 | $115.00 | $75.95 |
Medical Specialties & State Licenses
CMS Verified: 2022-01-26NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Hospital & Practice Group Affiliations
Saint Alphonsus Regional Medical Center Inc
6094 W Emerald St, Boise, ID 837048855
Phone: 2083021000
Saint Alphonsus Regional Medical Center Inc
11035 Karcher Rd, Nampa, ID 836518200
Phone: 2083022100
Saint Alphonsus Regional Medical Center Inc
757 E Wythe Creek Ct, Kuna, ID 836345006
Phone: 2083026500
Saint Alphonsus Regional Medical Center Inc
3025 W Cherry Ln, Meridian, ID 836428531
Saint Alphonsus Regional Medical Center Inc
10583 W Lake Hazel Rd, Boise, ID 837096326
Phone: 2083025900
Saint Alphonsus Regional Medical Center Inc
6051 W Emerald St, Boise, ID 837048969
Phone: 2083025100
Saint Alphonsus Regional Medical Center Inc
6022 W Emerald St, Boise, ID 837048855
Phone: 2083674603
Secondary Practice Locations
1856 E Fireside Dr
Meridian, ID 836421118
Phone: 8057489554
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Family Medicine
Doctor of Medicine (M.D.)
Nurse Practitioner - Family
Family Nurse Practitioner
Family Medicine
Doctor of Medicine (M.D.)
Physician Assistant
Physician Assistant
Emergency Medicine
Doctor of Osteopathic Medicine (D.O.)
Nurse Practitioner - Family
Family Nurse Practitioner (Certified)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Registered at 6051 W EMERALD ST, BOISE, ID 837048969 (Tel: 2083025150)
Registered at 3340 E GOLDSTONE DR, MERIDIAN, ID 836421026 (Tel: 2083029342)
NPI status registered as active in NPPES database
Registered at 1856 E FIRESIDE DR, MERIDIAN, ID 836421118 (Tel: 8057489554)
Registered at 1856 E FIRESIDE DR, MERIDIAN, ID 836421118
Recorded as LACY WAGNER, PA
Physician Assistant
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
Verified patient ratings, medical care experiences, and facility photos
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NPI Administrative Meta
Mailing Address
3340 E Goldstone Dr
Meridian, ID 836421026
Phone: 2083029342
This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.