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

Lacey Nicole Pulley, PA-C

Individual provider Hospitalist Physician · NPI 1780126920

Lacey Nicole Pulley, PA-C is a Physician Assistant in Lebanon, Indiana. Qualified in 2016, 10 years ago. Practices with Witham Memorial Hospital, a 103-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
10
Licensed in
IN
In the registry since
2016
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

2705 N Lebanon St Ste 265
Lebanon, IN 46052-8621
Phone: (765) 485-8830
Fax: (765) 485-8839
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 10002070A (IN)
Hospitalist Physician Taxonomy 208M00000X · Licence 10002070A (IN)

Record details

NPI number1780126920
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 4, 2016
Last updated in NPPESOctober 14, 2025
Certification dateOctober 14, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Witham Memorial Hospital — 103 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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