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

Lacey Appachu, NP

Individual provider Nurse Practitioner · NPI 1124850649

Lacey Appachu, NP is a Nurse Practitioner in Mesa, Arizona. Qualified in 2024, 2 years ago. Practices with Banner - University Physician Specialists LLC, a 347-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
2
Licensed in
AZ
In the registry since
2024
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

1520 S Dobson Rd Ste 206
Mesa, AZ 85202-4753
Phone: (480) 412-8080
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 235223 (AZ)
Registered Nurse Taxonomy 163W00000X · Licence 235223 (AZ)

Record details

NPI number1124850649
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedAugust 14, 2024
Last updated in NPPESSeptember 12, 2025
Certification dateSeptember 12, 2025
Mailing address1400 S Dobson Rd, Mesa, AZ 85202-4707

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 Banner - University Physician Specialists Llc — 347 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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