LACEY WICKERSHAM APRN
NPI 1710716824
Nurse Practitioner - Family in Ontario, OR
About Lacey Wickersham Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LACEY WICKERSHAM APRN (NPI 1710716824) is an individual family provider in Ontario, Oregon, licensed in Oregon (10026939) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and is a graduate of Yale University School Of Medicine (2022).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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 Wickersham 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Luke's Regional Medical Center
Acute Care Hospitals · Boise, IDSaint Alphonsus Medical Center - Ontario
Acute Care Hospitals · Ontario, ORPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97914 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Wickersham's NPI number?
The NPI number for Lacey Wickersham is 1710716824. It was assigned to this individual provider in the NPPES registry on July 29, 2024.
Where is Lacey Wickersham located?
Lacey Wickersham practices at 896 Fortner St, Ontario, OR 97914. The listed phone number is (541) 881-2828.
What is Lacey Wickersham's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Lacey Wickersham enrolled in Medicare?
Yes. Lacey Wickersham 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 Wickersham accept?
Health plans from BridgeSpan Health Company, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Lacey Wickersham 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 Lacey Wickersham affiliated with any hospitals?
According to CMS data, Lacey Wickersham is affiliated with St Luke's Regional Medical Center and Saint Alphonsus Medical Center - Ontario.
When was this NPI record last updated?
The NPPES record for Lacey Wickersham was last updated on January 15, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.
