Lacey E Shambo, DNP-BC
Family Nurse Practitioner · Watertown, NY
At a glance
18983 Us Route 11, Watertown, NY 13601-5320
NPPES record updated Mar 26, 2025. Public records can lag behind changes at a practice.
Before you call: a quick checklist
- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Medicare & insurance
Insurance participation is not established by these public records. Ask the practice and your insurer about your specific plan and this location.
How to check your coverage
Use your plan’s provider directory or the member-services number on your insurance card. Confirm the clinician, practice address, service, and whether a referral is required. A missing opt-out record does not establish Medicare acceptance.
Check the official Medicare directory ↗Practice location
18983 Us Route 11Watertown, NY 13601-5320
Additional reported practice locations
3000 N Litchfield Rd Ste 120Goodyear, AZ 853957802
Phone: 9494849517
Fax: 9495691295 2025 Memory Ln Ste 300
Harker Heights, TX 765487488
Phone: 9494849517
Fax: 9495691295 122 Delaware Street Stef-5
New Castle, DE 197204814
Phone: 9494849517
Fax: 9495691295 7261 S Broadway Ste 14L
Littleton, CO 801228019
Phone: 9494849517
Fax: 9495691295 5 Greentree Center
Suite 117
Marlton, NJ 08053
Phone: 9494849517
Fax: 9495691295 3499 Blazer Pkwy Ste 325
Lexington, KY 405092798
Phone: 9494849517
Fax: 9495691295 635 Main St Ste 206A
Klamath Falls, OR 976016007
Phone: 9494849517
Fax: 9495691295
Education & affiliations
- Medical / professional school
- Not reported in this file
- Graduation year
- 2022
- CMS specialties
- Nurse Practitioner
Practice groups
Reported hospital affiliations
- Carthage Area Hospital, Inc Carthage, NY
- River Hospital Clinics Alexandria Bay, NY
- Samaritan Medical Center Watertown, NY
Graduation year does not establish years in practice. A reported affiliation does not establish employment, current admitting privileges, or insurance participation.
Source: CMS National Downloadable File · Published Oct 15, 2026.
Source: CMS Facility Affiliation Data · Published Oct 15, 2026.
Procedures in the public data
Reported activity can help you ask more informed questions about a practice’s services.
No displayed procedure-category record in this release. This does not mean the clinician performs no procedures.
CMS uses a one-year claims window with a reporting lag. Counts cover the Medicare activity included by CMS, not all patients. “1–10” is a published range. Volume is not a quality or outcomes score. Coverage and methodology
Source: CMS Utilization Data · Published Oct 15, 2026.
Find providers with a similar service mix
Compare 2024 published Medicare activity in the same reported specialty, here or in another city.
Industry-reported general payments
Includes reported transfers of value, such as meals, travel, or consulting. Payments do not establish improper conduct or quality of care. Research funding and ownership values are excluded from this total.
See payment purposes and reporting companies
Reported purposes
| Purpose | Amount |
|---|---|
| Food and beverage | $65.98 |
Reporting companies
| Company | Amount |
|---|---|
| NOVO NORDISK INC | $65.98 |
Source: CMS 2025 payments grouped by covered recipient and nature of payments · Published Jun 30, 2026.
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Family Nurse Practitioner
- Taxonomy code
- 363LF0000X
- Enumeration date
- Jun 20, 2022
- Record updated
- Mar 26, 2025
More registry details
- Provider type
- Individual · Type 1
- Reported credentials
- DNP-BC
Reported taxonomies and licenses
363LF0000X
License reported: TPAN2536 FL
363LF0000X
License reported: 1169690 TX
163W00000X
License reported: 689095 NY
363LF0000X
License reported: LG-0012858 DE
363LF0000X · Primary
License reported: 350243 NY
363LF0000X
License reported: APN.1000145-NP CO
363LF0000X
License reported: 10042097 OR
363LF0000X
License reported: 4036258 KY
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
18983 Us Route 11Watertown, NY 13601-5320
- Phone
- (315) 782-0059
Mailing address
15895 HAMP RDWATERTOWN, NY 136016768
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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