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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Active since August 31, 2023PECOS Enrolled
5401 N PORTLAND AVE STE 500, OKLAHOMA CITY, OK 73112(405) 632-6688 Get Directions Write a Review

NPPES record last updated: September 28, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 28, 2026, Apr 17, 2026, Oct 3, 2024 and 3 more (6 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 and maintains a secondary practice location in Oklahoma City.

NPPES Registry Identity

NPI1417733924
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameSIERRA VICTORIA LACEY
Location Address5401 N PORTLAND AVE STE 500Oklahoma City, OK 73112-2126
Mailing Address3000 N Grand BlvdOklahoma City, OK 73107-1818 · (405) 632-6688
Phone(405) 632-6688
Sole ProprietorNo
Enumeration DateAugust 31, 2023
Last NPPES UpdateSeptember 28, 20266 updates tracked since enumeration
NPPES CertifiedSeptember 28, 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
5401 N PORTLAND AVE STE 500, Oklahoma City, OK 73112
Open in Google Maps ↗

Secondary Practice Location 1

Location 15320 N Portland AveOklahoma City, OK 73112-2098 · Phone (405) 632-6688

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Sierra Lacey reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Variety Care, Inc.
Same address
Federally Qualified Health Center (FQHC)
5401 N PORTLAND AVE STE 500
Oklahoma City, OK 73112
  • Reassigned Medicare billing, Oklahoma enrollment
  • 117 clinicians in this Medicare group
NPI 1457980526 (405) 632-6688

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 6

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

LAUREN RUIZ APRN, CPNP-PC
Pediatrics
5401 N PORTLAND AVE STE 500
OKLAHOMA CITY, OK 73112
Oklahoma County (405) 632-6688
SAMUEL THOMAS WOOD DO
Pediatrics
5401 N PORTLAND AVE STE 500
OKLAHOMA CITY, OK 73112
Oklahoma County (405) 632-6688
VARIETY CARE, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
5401 N PORTLAND AVE STE 500
OKLAHOMA CITY, OK 73112
Oklahoma County (405) 632-6688
DR. TIMOTHY F. RATHBUN DO
Psychiatry & Neurology (Neurology)
5401 N PORTLAND AVE STE 500
OKLAHOMA CITY, OK 73112
Oklahoma County (405) 604-4486
L'TORA BRYANT APRN
Nurse Practitioner (Family)
5401 N PORTLAND AVE STE 500
OKLAHOMA CITY, OK 73112
Oklahoma County (405) 632-6688
MRS. REBECCALYN ANDERSON APRN
Nurse Practitioner (Pediatrics)
5401 N PORTLAND AVE STE 500
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 5401 N Portland Ave Ste 500, 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.

Which organization bills Medicare for Sierra Lacey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sierra Lacey reassigns Medicare benefits to Variety Care, Inc. (Oklahoma City, OK). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sierra Lacey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sierra Lacey accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer 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 September 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 32 days 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.