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

Miss. Lacey Marie Carls, PA-C

Individual provider Surgical Physician Assistant · NPI 1114252087

Miss. Lacey Marie Carls, PA-C is a Physician Assistant in Ottawa, Illinois. Qualified in 2009, 17 years ago. Practices with Morris Hospital, a 115-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
17
Licensed in
IL
In the registry since
2009
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

1306 Gemini Cir Ste 2
Ottawa, IL 61350
Phone: (815) 433-0850
Show map & directions

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

Additional practice locations (1)

  • 150 W High St, Morris, IL 60450-1497 — (815) 942-2932

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085.003635 (IL)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 085003635 (IL)

Record details

NPI number1114252087
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 12, 2009
Last updated in NPPESJune 23, 2023
Certification dateJune 23, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Morris Hospital — 115 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare