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: August 09, 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 University Of Alabama School Of Medicine (2014).

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
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2014
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

Accepted Insurance

Medicare Participation & PECOS CMS

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

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.

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.

Psychologist
12636 SE STARK ST BLDG J
PORTLAND, OR 97233
Counselor (Professional)
12636 SE STARK ST BLDG J
PORTLAND, OR 97233
Counselor
12636 SE STARK ST BLDG J
PORTLAND, OR 97233
Counselor (Professional)
12636 SE STARK ST BLDG J
PORTLAND, OR 97233
Counselor (Mental Health)
12636 SE STARK ST BLDG J
PORTLAND, OR 97233
Psychiatry & Neurology (Psychiatry)
12636 SE STARK ST BLDG J
PORTLAND, OR 97233
Counselor (Mental Health)
12636 SE STARK ST BLDG J
PORTLAND, OR 97233
Counselor (Professional)
12636 SE STARK ST BLDG J
PORTLAND, OR 97233

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.

What insurance does Lacey Evans accept?

Health plans from Moda Health Plan, Inc. and PacificSource Health Plans 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.