LACY GIBBON DNP
NPI 1699384438
Nurse Practitioner - Family in Sapulpa, OK

Active since July 28, 2020PECOS EnrolledAccepts Medicare Assignment
949 E TAFT AVE, SAPULPA, OK 74066(918) 224-6079(918) 224-6126 Get Directions Write a Review

NPPES record last updated: July 28, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lacy Gibbon Dnp NPPES

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

LACY GIBBON DNP (NPI 1699384438) is an individual family provider in Sapulpa, Oklahoma, licensed in Oklahoma (117838) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS, is affiliated with Ssm Health St Anthony Hospital - Oklahoma City, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1699384438
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLACY GIBBONCredential: DNP
Location Address949 E TAFT AVESapulpa, OK 74066-5728
Mailing Address701 Cedar Lake Blvd Ste 120Oklahoma City, OK 73114-7806 · (405) 445-1210
Fax(918) 224-6126
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 28, 2020
NPPES CertifiedJuly 28, 2020
NPI 1699384438 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in OK · 117838
949 E TAFT AVE, Sapulpa, OK 74066

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

Lacy Gibbon Dnp 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 ID5597182766
PECOS Enrollment IDI20200902001845
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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
122 services119 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
86 services86 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
62 services61 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
52 services26 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
39 services38 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
18 services18 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ssm Health St Anthony Hospital - Oklahoma City

Acute Care Hospitals · Oklahoma City, OK
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number370037
Location1000 North Lee AvenueOklahoma City, OK 73101 · Oklahoma County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74066 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 3

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

Nurse Practitioner (Family)
949 E TAFT AVE
SAPULPA, OK 74066
Physician Assistant
949 E TAFT AVE
SAPULPA, OK 74066
Nurse Practitioner (Family)
949 E TAFT AVE
SAPULPA, OK 74066

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 Lacy Gibbon's NPI number?

The NPI number for Lacy Gibbon is 1699384438. It was assigned to this individual provider in the NPPES registry on July 28, 2020.

Where is Lacy Gibbon located?

Lacy Gibbon practices at 949 E Taft Ave, Sapulpa, OK 74066. The listed phone number is (918) 224-6079.

What is Lacy Gibbon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Lacy Gibbon enrolled in Medicare?

Yes. Lacy Gibbon 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 Lacy Gibbon accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Medica, Mending Health and Oscar Insurance Company list Lacy Gibbon 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.

Is Lacy Gibbon affiliated with any hospitals?

According to CMS data, Lacy Gibbon is affiliated with Ssm Health St Anthony Hospital - Oklahoma City.

When was this NPI record last updated?

The NPPES record for Lacy Gibbon was last updated on July 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.