Lacy Rose Wagner, PA
Physician Assistant · Boise, ID
Lacy Rose Wagner, PA is a physician assistant with a practice address in Boise, Idaho, and NPI 1508537507, issued on Sep 21, 2021. Check the license (Idaho PA-2169, as entered in NPPES) with the Idaho board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Lacy Rose Wagner
- Credential
- PA
- Primary taxonomy
- Physician Assistant 363A00000X
- License number
- PA-2169 ID
Self-reported in NPPES; status is on the state search - Practice location
- 6051 W Emerald St, Boise, ID 83704
- Phone
- (208) 302-5150
- Enumerated
- Sep 21, 2021
- Record last updated
- Jan 26, 2022
- Fax
- (208) 302-5155
- Medicare enrollment
- Enrolled (PECOS I20220131002484); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest physician assistant records → All 1,250 in Idaho → Look up another NPI →
Also registered at 6051 W Emerald St
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Lacy Rose Wagner in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Idaho board licenses this profession
Search for license PA-2169Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
86% fewer Medicare Part D claims than the average physician assistant in 2024
118 Medicare Part D claims for 93 beneficiaries, against an average of 830 among the 101,058 providers of this specialty who prescribed in Part D.
Most prescribed
- Cefdinir21 claims
- Amoxicillin-Clavulanate Potass11 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: $17.49
1 payment: food and beverage; the largest payer was Novo Nordisk Inc. 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
- Saint Alphonsus Regional Medical Center IncBoise, ID
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Lacy Rose Wagner among 1,250 physician assistant records in Idaho
Lacy Rose Wagner, PA is one of 1,250 physician assistant records with a practice address in Idaho. 87% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2021, is newer than 71% of them.
- NPI issued2021 · 71% of these records are older, 23% newer
- In a Medicare fileYes · 87% of these records are
- In the CMS Doctors and Clinicians fileYes · 77% of these records are
- Graduated2021 · median 2017 among the 961 with a school on file
- Record last updated2022 · 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 Idaho practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
362 physician assistant records list a practice address in Boise
They are 362 of the 9,467 NPPES records with a practice address in Boise, and 1,250 physician assistant records in Idaho.
All 1,250 in Idaho → Every provider in Boise → Physician Assistant nationwide →
The 8 physician assistant records with the nearest ZIP codes
- Alex Casebolt, PABoise, ID 837041346283363
- Thomas Douthit, PA-CBoise, ID 837041023008414
- Chadwick Fisher, PABoise, ID 837041497744338
- Jeffrey Flaker, PABoise, ID 837041295780062
- Bryan Hart, PABoise, ID 837041518977826
- Rachel King, PABoise, ID 837041205826245
- Helen Lawler, PABoise, ID 837041336184803
- Dale McGar, PA-CBoise, ID 837041457328478
Common questions
What is Lacy Rose Wagner, PA's NPI number?
Lacy Rose Wagner, PA's National Provider Identifier (NPI) is 1508537507, issued on Sep 21, 2021. An NPI identifies a provider in billing; it is not a license.
Where is Lacy Rose Wagner, PA located?
The NPPES record lists a practice address at 6051 W Emerald St, Boise, ID, 83704. Phone: (208) 302-5150. Providers update this record themselves, so call before visiting.
How can I verify Lacy Rose Wagner, PA's license?
NPPES lists Idaho license number PA-2169, as entered by the provider. Search the Idaho board that licenses this profession; the NPPES record confirms identity only.
How much does Lacy Rose Wagner, PA prescribe under Medicare Part D?
In 2024, Lacy Rose Wagner, PA had 118 Medicare Part D claims for 93 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.