Mrs. Lacey Sullivan
FNP-BC | Nurse Practitioner | 12+ years Exp
7245 Raider Rd Ste C, Bonne Terre
Missouri, 63628-3767
573-358-4600
Mrs. Lacey Sullivan is a Bonne Terre, Missouri based nurse practitioner with 12 years of experience in . She completed her graduation in 2013. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mrs. Lacey Sullivan is 2013037701 in Missouri. Her current practice location is 7245 Raider Rd Ste C, Bonne Terre. Patients can reach her at 573-358-4600 or can fax her at 573-358-4654. Mrs. Lacey Sullivan is FNP-BC and her NPI number (Unique professional ID assigned by NPPES) is 1174951503.
Mrs. Lacey Sullivan has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Mrs. Lacey Sullivan speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Mrs. Lacey Sullivan |
| Specialization: | Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | FNP-BC |
| Experience: | 12+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2013 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 7245 Raider Rd Ste C, Bonne Terre,
Missouri, 63628-3767 |
| Phone: | 573-358-4600 |
| Fax: | 573-358-4654 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 5395973697 |
| Enrollment ID: | I20140113001307 |
| NPI Number: | 1174951503 |
| NPI Enumeration Date: | 22 Oct, 2013 |
| NPI Last Update On: | 17 Sep, 2025 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mrs. Lacey Sullivan are as mentioned below.
| License Number | Specialization | State | Status | |
| 2013037701 | | Missouri | Primary | |
| 2013037701 | Family | Missouri | Secondary | |
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| (261330) | Sainte genevieve, MO | Critical Access Hospital |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Mrs. Lacey Sullivan is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Ste Genevieve County Memorial Hospital (3274432802) | 59 |
| Xiaohui's Medical, Llc (2163551714) | 3 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Mrs. Lacey Sullivan such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 2013037701 | Other | Missouri | FNP LICENSE |
| 2013017822 | Other | Missouri | ANCC |
| 2008021920 | Other | Missouri | RN LICENSE |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Mrs. Lacey Sullivan
Po Box 957683,
Saint Louis, Missouri |
| Zip: | 63195-7683 |
| Phone Number: | 573-358-4600 |
| Fax Number: | 573-358-4654 |
Patients can reach Mrs. Lacey Sullivan at
7245 Raider Rd Ste C, Bonne Terre, Missouri or can
call to book an appointment on 573-358-4600.
Comments/ Reviews:
Patients can read all the reviews posted for Mrs. Lacey Sullivan below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Mrs. Lacey Sullivan. It will help others make informed decisions.
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.