Individual provider Active NPI

Lacey Bernice Ives, APRN-CNP

  • Critical Care Medicine Nurse Practitioner
  • Oklahoma City, OK
National Provider Identifier
1255165650
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine Nurse PractitionerTaxonomy code 363LC0200X
License
201078 Issued in OK
Practice address
3300 NW Expressway
Oklahoma City, OK 73112-4418
Phone
(405) 949-3011
NPI assigned
Aug 28, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 201078 OK
Family Nurse Practitioner 363LF0000X 201078 OK
Critical Care Medicine Nurse Practitioner 363LC0200X 201078 OK Primary

Addresses

Primary practice location

3300 NW Expressway
Oklahoma City, OK 73112-4418

Mailing address

14000 Hunter Jackson Dr
Yukon, OK 73099-1018
Phone (405) 464-8515

Other practice location 1

9417 N Council Rd
Oklahoma City, OK 73162-6228
Phone (405) 550-3280

Other practice location 2

4801 SE 15th St
Del City, OK 73115-3918
Phone (405) 500-3380

Other practice location 3

3391 S I 35 Service Rd
Moore, OK 73160-3191
Phone (405) 500-3330

Other practice location 4

300 S Rockwell Ave
Oklahoma City, OK 73128-2222
Phone (405) 951-2277

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250220000314 OK Practitioner - Nurse Practitioner 1850811993 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Services of Oklahoma PCGroup PAC ID 8123209012, 63 clinicians
South Central Emergency Services, PCGroup PAC ID 8224212949, 57 clinicians
Ies ER Oklahoma LLCGroup PAC ID 5395234678, 135 clinicians

Practice addresses (Care Compare)

3300 NW Expwy
Oklahoma City, OK 73112-4418
Phone (405) 949-3011

4801 Integris Pkwy
Edmond, OK 73034-8864
Phone (405) 713-4565

6161 S Yale Ave
Tulsa, OK 74136-1902
Phone (918) 494-2200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
201078OKMDCritical Care Medicine Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Central Emergency Services PC Nurse Practitioner CurrentSince Oct 1, 2025 Accepting new patients
Ies ER Oklahoma LLC CurrentSince Dec 31, 2025 Accepting new patients
Emergency Services of Oklahoma PC Nurse Practitioner CurrentSince Feb 14, 2025 Accepting new patients
Integris Baptist Medical Center Inc Past Accepting new patients
Integris Health Edmond, Inc Past Accepting new patients

Locations

4801 SE 15th St
Del City, OK 73115
Phone (405) 500-3380

4801 Integris Pkwy
Edmond, OK 73034
Phone (405) 657-3000

3391 S I 35 Service Rd
Moore, OK 73160
Phone (405) 500-3330

9417 N Council Rd
Oklahoma City, OK 73162
Phone (405) 500-3280

4050 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 608-3200

300 S Rockwell Ave
Oklahoma City, OK 73128
Phone (405) 500-3430

5501 N Portland Ave
Oklahoma City, OK 73112
Phone (405) 604-6000

3300 NW Expressway St
Oklahoma City, OK 73112
Phone (405) 251-2815

1323 W 6th Ave
Stillwater, OK 74074
Phone (405) 372-1480

10501 E 91st St
Tulsa, OK 74133
Phone (918) 307-6000

6161 S Yale Ave
Tulsa, OK 74136
Phone (918) 494-2200

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1724803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773014400000",
    "number": "1255165650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14000 HUNTER JACKSON DR",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730991018",
            "telephone_number": "405-464-8515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 NW EXPRESSWAY",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124418",
            "telephone_number": "405-949-3011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9417 N Council Rd",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731626228",
            "country_code": "US",
            "telephone_number": "405-550-3280",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4801 SE 15th St",
            "address_purpose": "LOCATION",
            "city": "Del City",
            "state": "OK",
            "postal_code": "731153918",
            "country_code": "US",
            "telephone_number": "405-500-3380",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3391 S I 35 Service Rd",
            "address_purpose": "LOCATION",
            "city": "Moore",
            "state": "OK",
            "postal_code": "731603191",
            "country_code": "US",
            "telephone_number": "405-500-3330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 S Rockwell Ave",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731282222",
            "country_code": "US",
            "telephone_number": "405-951-2277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IVES",
        "first_name": "LACEY",
        "middle_name": "BERNICE",
        "credential": "APRN-CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-28",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "201078",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "201078",
            "primary": false
        },
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "OK",
            "license": "201078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.