Provider Profile
Lacy R. Wagner, PA
Unclaimed ProfileAbout Lacy Wagner
Lacy R. Wagner, PA is a physician assistant based in Boise, ID. Medicare claims data shows Lacy provided 70 services to 67 patients. The services billed most often include established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more and established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more.
Summarised automatically from public NPI registry and CMS Medicare data. Not written or reviewed by this provider. Claim this profile to replace it.
Education & Training
Specialty
Credentials & Licensing
License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.
Medicare information
Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.
Contact Information
- (208) 302-5150
- Email not available
Practice Locations
6051 W EMERALD ST
Boise, ID 83704
1856 E Fireside Dr
Meridian, ID 83642
Procedures Most Often Billed to Medicare
70 services · 67 patients · 2 distinct codes
| Procedure | Type | Code | Services | Compared with peers |
|---|---|---|---|---|
| Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | Office visit | 99213 |
57 | As often as other peers in Physician Assistant |
| Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | Office visit | 99214 |
13 |
Source: CMS Medicare public data. Shows how often procedures were billed — not quality of care or patient satisfaction.
Related providers
Connections drawn from the registry and from what providers have told us. A link here is not a referral or an endorsement.
Other physician assistants at this location 8
Same specialty, same street address — most likely the same department or group.
Related specialists at this location 8
Clinically related specialties at the same address — the people this provider most likely works alongside.
Also at this address 4
Providers at the same street address. Each files their own registry entry, so a shared practice often appears under several different names.
More connections — 24 related providers in 3 groups
Other physician assistants in Boise 8
Same specialty, same city.
Trained at Other 8
Other providers in the same specialty who trained at the same institution.
Class of 2021 at Other 8
Providers who graduated from the same medical school in the same year.
Common questions
What kind of doctor is Lacy R. Wagner?
Lacy R. Wagner is a physician assistant in Boise, ID. That is the designation recorded for this NPI in the federal registry.
NPI registry
What is Lacy R. Wagner's address?
Lacy R. Wagner is listed at 6051 W Emerald St, Boise, ID 83704. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
How can I make an appointment with Lacy R. Wagner?
The number on file is (208) 302-5150. Guide.md cannot book appointments or pass on messages — please call the office directly.
NPI registry
What is the NPI for Lacy R. Wagner?
Lacy R. Wagner's National Provider Identifier is 1508537507. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
Where did Lacy R. Wagner train?
Lacy R. Wagner attended Other, graduating in 2021. This comes from the CMS National Downloadable File.
CMS public data
How much experience does Lacy R. Wagner have?
Lacy R. Wagner has 5 years experience. Calculated from a graduation year of 2021, reported in the CMS National Downloadable File.
CMS public data
What procedures does Lacy R. Wagner perform?
According to Medicare billing data, Lacy R. Wagner the Medicare record under this individual NPI shows mainly office visits and diagnostic testing. Hospital-based physicians usually have their procedural work billed by the facility rather than under their own number, so this is a floor on their practice, not a description of it. This reflects Medicare patients only and is billing volume, not a measure of quality.
Medicare claims
Is Lacy R. Wagner's profile verified?
Not yet. This profile is built from public federal data and has not been confirmed by Lacy R. Wagner. If this is you, claiming it is free.
Guide.md
Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.