1. Home
  2. Directory
  3. Oklahoma
  4. City
  5. Nurse Practitioner
  6. NPI Profile

SIERRA VICTORIA LACEY
NPI 1417733924
Nurse Practitioner - Pediatrics in Oklahoma City, OK

Active since August 31, 2023PECOS Enrolled
5320 N PORTLAND AVE, OKLAHOMA CITY, OK 73112(405) 632-6688 Get Directions Write a Review

NPPES record last updated: April 17, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 17, 2026, Oct 3, 2024, Oct 11, 2023 and 2 more (5 updates tracked since 2023).

About Sierra Victoria Lacey NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SIERRA VICTORIA LACEY (NPI 1417733924) is an individual pediatrics provider in Oklahoma City, Oklahoma, licensed in Oklahoma (214872) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417733924
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameSIERRA VICTORIA LACEY
Location Address5320 N PORTLAND AVEOklahoma City, OK 73112-2098
Mailing Address3000 N Grand BlvdOklahoma City, OK 73107-1818 · (405) 632-6688
Phone(405) 632-6688
Sole ProprietorNo
Enumeration DateAugust 31, 2023
Last NPPES UpdateApril 17, 20265 updates tracked since enumeration
NPPES CertifiedApril 17, 2026
✔ NPI 1417733924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in OK · 214872
5320 N PORTLAND AVE, Oklahoma City, OK 73112
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sierra Victoria Lacey is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73112 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TERESA ROSALES PHARM D
Pharmacist
5320 N PORTLAND AVE
OKLAHOMA CITY, OK 73112
Oklahoma County (405) 605-0316
CARINA GUTIERREZ PA
Physician Assistant
5320 N PORTLAND AVE
OKLAHOMA CITY, OK 73112
Oklahoma County (405) 632-6688
LAUREN RUIZ APRN, CPNP-PC
Pediatrics
5320 N PORTLAND AVE
OKLAHOMA CITY, OK 73112
Oklahoma County (405) 632-6688
NORTHWEST OPTICAL INC.
Eyewear Supplier
5320 N PORTLAND AVE
OKLAHOMA CITY, OK 73112
Oklahoma County (405) 947-3330
DR. AMANDA MARTIN M.D.
Pediatrics
5320 N PORTLAND AVE
OKLAHOMA CITY, OK 73112
Oklahoma County (405) 632-6688
VARIETY CARE, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
5320 N PORTLAND AVE
OKLAHOMA CITY, OK 73112
Oklahoma County (405) 632-6688
DAVID E. KORBER M.D. P.C
Ophthalmology
5320 N PORTLAND AVE
OKLAHOMA CITY, OK 73112
Oklahoma County (405) 947-3330
MELISA DEAN WHNP
Nurse Practitioner (Women's Health)
5320 N PORTLAND AVE
OKLAHOMA CITY, OK 73112
Oklahoma County (405) 632-6688

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sierra Lacey's NPI number?

The NPI number for Sierra Lacey is 1417733924. It was assigned to this individual provider in the NPPES registry on August 31, 2023.

Where is Sierra Lacey located?

Sierra Lacey practices at 5320 N Portland Ave, Oklahoma City, OK 73112. The listed phone number is (405) 632-6688.

What is Sierra Lacey's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Sierra Lacey enrolled in Medicare?

Yes. Sierra Lacey is registered in the Medicare PECOS enrollment system.

What insurance does Sierra Lacey accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Sierra Lacey as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sierra Lacey was last updated on April 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.