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LACEY EVANS APRN
NPI 1609333632
Nurse Practitioner - Psychiatric/Mental Health in Portland, OR

Active since February 26, 2019PECOS EnrolledAccepts Medicare Assignment
12636 SE STARK ST BLDG J, PORTLAND, OR 97233(503) 233-4600 Get Directions Write a Review

NPPES record last updated: January 25, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Lacey Evans Aprn NPPES

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

LACEY EVANS APRN (NPI 1609333632) is an individual psychiatric/mental health provider in Portland, Oregon, licensed in Oregon (202202396NP-PP) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1609333632
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameLACEY EVANSCredential: APRN
Location Address12636 SE STARK ST BLDG JPortland, OR 97233-1058
Mailing Address12636 Se Stark St Bldg JPortland, OR 97233-1058 · (503) 253-4600
Phone(503) 233-4600
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateFebruary 26, 2019
Last NPPES UpdateJanuary 25, 2024
NPPES CertifiedOctober 5, 2023
✔ NPI 1609333632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in OR · 202202396NP-PP✔ Licensed in WA · AP61275118
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License 201808357RN (OR)
12636 SE STARK ST BLDG J, Portland, OR 97233
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lacey Evans Aprn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4284089764
PECOS Enrollment IDI20231018003991, I20250206001889
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 Reassignments

6

Medicare enrollment records show Lacey Evans reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bay Area Hospital District
170 mi
General Acute Care Hospital
1775 THOMPSON RD
Coos Bay, OR 97420
  • Reassigned Medicare billing, Oregon enrollment
  • 327 clinicians in this Medicare group
NPI 1225016561 (541) 269-8124
Sondermind, P.A.
1,406 mi
Clinical
801 E DOUGLAS AVE FL 2
Wichita, KS 67202
  • Reassigned Medicare billing, Washington enrollment
  • Medicare enrollment name: Sondermind PA
  • 92 clinicians in this Medicare group
NPI 1710647581 (844) 843-7279
Access Telecare, PLLC
1,627 mi
Internal Medicine
1717 MAIN ST STE 5850
Dallas, TX 75201
  • Reassigned Medicare billing, Oregon and Washington enrollments
  • 20 clinicians in this Medicare group
NPI 1013303080 (972) 449-0540
Forefront-Rosenzweig Medical Services Professional Corporation
1,627 mi
Psychiatry
1717 MAIN ST STE 5850
Dallas, TX 75201
  • Reassigned Medicare billing, Illinois, Oregon and Washington enrollments
  • 34 clinicians in this Medicare group
NPI 1588101745 (972) 449-0540
Memorial Hermann Medical Group
1,811 mi
Family Medicine
6631 W CROSS CREEK BEND LN STE 200
Fulshear, TX 77441
  • Reassigned Medicare billing, Texas enrollment
  • 1,235 clinicians in this Medicare group
NPI 1003985102 (832) 658-5750
Metropolitan Hospital
1,822 mi
Anatomic Pathology & Clinical Pathology
5900 BYRON CENTER AVE SW
Wyoming, MI 49519
  • Reassigned Medicare billing, Michigan enrollment
  • 685 clinicians in this Medicare group
NPI 1336182542 (616) 252-7200

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 97233 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
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
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 20

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

ETHAN WARANCH PSYD
Psychologist
12636 SE STARK ST BLDG J
PORTLAND, OR 97233
Multnomah County (503) 253-4600
RAQUEL STEWART-MENDOZA MA, LPCA
Counselor (Professional)
12636 SE STARK ST BLDG J
PORTLAND, OR 97233
Multnomah County (503) 253-4600
NANNETTE ZIRNSTEIN L.P.C.
Counselor
12636 SE STARK ST BLDG J
PORTLAND, OR 97233
Multnomah County (503) 225-3460
MR. ALLEN LYNN HALL JR. MA, LPC
Counselor (Professional)
12636 SE STARK ST BLDG J
PORTLAND, OR 97233
Multnomah County (503) 253-4600
ALEXIS KAY PRAUDINS
Counselor (Professional)
12636 SE STARK ST BLDG J
PORTLAND, OR 97233
Multnomah County (503) 253-4600
SHARON M HATRAK
Counselor (Mental Health)
12636 SE STARK ST BLDG J
PORTLAND, OR 97233
Multnomah County (503) 253-4600
MEGHAN L O'NEIL MD
Psychiatry & Neurology (Psychiatry)
12636 SE STARK ST BLDG J
PORTLAND, OR 97233
Multnomah County (032) 534-6005
ABIGAIL ELIZABETH SCHULTZ LPC
Counselor (Mental Health)
12636 SE STARK ST BLDG J
PORTLAND, OR 97233
Multnomah County (503) 233-5405

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 Lacey Evans's NPI number?

The NPI number for Lacey Evans is 1609333632. It was assigned to this individual provider in the NPPES registry on February 26, 2019.

Where is Lacey Evans located?

Lacey Evans practices at 12636 SE Stark St Bldg J, Portland, OR 97233. The listed phone number is (503) 233-4600.

What is Lacey Evans's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Lacey Evans enrolled in Medicare?

Yes. Lacey Evans is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Lacey Evans's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lacey Evans reassigns Medicare benefits to 6 organizations: Bay Area Hospital District (Coos Bay, OR), Sondermind, P.A. (Wichita, KS), Access Telecare, PLLC (Dallas, TX), Forefront-Rosenzweig Medical Services Professional Corporation (Dallas, TX), Memorial Hermann Medical Group (Fulshear, TX) and 1 more organization, listed in the Medicare section above. Each 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 Lacey Evans's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lacey Evans accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Priority Health list Lacey Evans 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 Lacey Evans was last updated on January 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.