Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Katherine Lacy

Individual provider Nurse Practitioner · NPI 1235001827

Katherine Lacy is a Nurse Practitioner in Wynnewood, Pennsylvania. Qualified in 2024, 2 years ago. Practices with Main Line Healthcare, a 1,153-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
2
Licensed in
PA
In the registry since
2025
Specialties on file
2
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Practice location Address checks out

100 E Lancaster Ave Heart Pavilion Mezzanine Level
Wynnewood, PA 19096-3450
Phone: (484) 476-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence SP032461 (PA)
Nurse Practitioner Taxonomy 363L00000X · Licence SP032461 (PA)

Record details

NPI number1235001827
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 22, 2025
Last updated in NPPESFebruary 7, 2026
Certification dateFebruary 7, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Main Line Healthcare — 1153 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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