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
Mailing address3803 W Chester Pike Ste 160, Newtown Square, PA 19073-2336

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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