Lacey Jean Wildeboer, PA
Physician Assistant · Kenly, NC
Lacey Jean Wildeboer, PA is a physician assistant with a practice address in Kenly, North Carolina, and NPI 1477077089, issued on Jul 26, 2017. Check the license (North Carolina 0010-07379, as entered in NPPES) with the North Carolina board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Lacey Jean Wildeboer
- Credential
- PA
- Primary taxonomy
- Physician Assistant 363A00000X
- License number
- 0010-07379 NC
Self-reported in NPPES; status is on the state search - Practice location
- 400 N Englewood Dr, Kenly, NC 27542
- Phone
- (919) 284-4149
- Enumerated
- Jul 26, 2017
- Record last updated
- Oct 3, 2025
- Fax
- (919) 284-6008
- Medicare enrollment
- Enrolled (PECOS I20170905003367); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest physician assistant records → All 9,279 in North Carolina → Look up another NPI →
Also registered at 400 N Englewood Dr
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Joshua Barnes, FNP-CFamily Nurse Practitioner1962926964
- Donna Capps, M.D.Family Medicine Physician1578665444
- Lisa Narron, FNP-CFamily Nurse Practitioner1376131128
Verify Lacey Jean Wildeboer in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich North Carolina board licenses this profession
Search for license 0010-07379Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
10% fewer Medicare Part D claims than the average physician assistant in 2024
743 Medicare Part D claims for 237 beneficiaries, against an average of 830 among the 101,058 providers of this specialty who prescribed in Part D. Brand-name drugs were 55% of claims.
Most prescribed
- Trelegy Ellipta115 claims
- Albuterol Sulfate Hfa103 claims
- Prednisone82 claims
- Azithromycin54 claims
- Breztri Aerosphere44 claims
- Levofloxacin44 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
Industry payments in 2024: $125.04
6 payments; by number, the most common kind was food and beverage; the largest payer was Genzyme Corporation. The 64,719 providers of this specialty with any payment received $841.65 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Unc Physicians Network LLCKenly, NC
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Lacey Jean Wildeboer among 9,279 physician assistant records in North Carolina
Lacey Jean Wildeboer, PA is one of 9,279 physician assistant records with a practice address in North Carolina. 81% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2017, is newer than 53% of them.
- NPI issued2017 · 53% of these records are older, 43% newer
- In a Medicare fileYes · 81% of these records are
- In the CMS Doctors and Clinicians fileYes · 69% of these records are
- Graduated2017 · median 2017 among the 6,366 with a school on file
- Record last updated2025 · 35% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a North Carolina practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
1 physician assistant record lists a practice address in Kenly
They are 1 of the 27 NPPES records with a practice address in Kenly, and 9,279 physician assistant records in North Carolina.
All 9,279 in North Carolina → Every provider in Kenly → Physician Assistant nationwide →
The 8 physician assistant records with the nearest ZIP codes
- Brianna Banerjee, PA-CHolly Springs, NC 275401639867906
- Beatriz Bidgood, PA-CHolly Springs, NC 275401306475975
- Caroline Davis, PA-CHolly Springs, NC 275401356002877
- Nathan Faris, PA-CHolly Springs, NC 275401164012027
- Taylor HettingerHolly Springs, NC 275401255045928
- Kim Le, PA-CHolly Springs, NC 275401780217463
- Sarah MortonHolly Springs, NC 275401750911004
- Emma Peck, PA-CHolly Springs, NC 275401497566053
Common questions
What is Lacey Jean Wildeboer, PA's NPI number?
Lacey Jean Wildeboer, PA's National Provider Identifier (NPI) is 1477077089, issued on Jul 26, 2017. An NPI identifies a provider in billing; it is not a license.
Where is Lacey Jean Wildeboer, PA located?
The NPPES record lists a practice address at 400 N Englewood Dr, Kenly, NC, 27542. Phone: (919) 284-4149. Providers update this record themselves, so call before visiting.
How can I verify Lacey Jean Wildeboer, PA's license?
NPPES lists North Carolina license number 0010-07379, as entered by the provider. Search the North Carolina board that licenses this profession; the NPPES record confirms identity only.
How much does Lacey Jean Wildeboer, PA prescribe under Medicare Part D?
In 2024, Lacey Jean Wildeboer, PA had 743 Medicare Part D claims for 237 beneficiaries; the average among physician assistant prescribers was 830. Part D covers Medicare prescriptions only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.