Mrs. Lacey Sullivan

FNP-BC | Nurse Practitioner | 12+ years Exp

7245 Raider Rd Ste C, Bonne Terre
  Missouri, 63628-3767
573-358-4600
Accepts Medicare Nurse Anesthetist in Bonne Terre, Missouri.
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 NumberSpecializationStateStatus
2013037701 MissouriPrimary
2013037701Family MissouriSecondary
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, MOCritical 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.
IdentifierTypeStateIssuer
2013037701OtherMissouriFNP LICENSE
2013017822OtherMissouriANCC
2008021920OtherMissouriRN 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:

Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.