Individual provider Active NPI

Lacy Elizabeth Scott Wyant, RN, FNP

  • Family Nurse Practitioner
  • Grants Pass, OR
National Provider Identifier
1306223573
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201605315 Issued in OR
Practice address
1587 NW Washington Blvd
Grants Pass, OR 97526-1085
Phone
(541) 476-7000
NPI assigned
Apr 27, 2015
Sex
Female
Sole proprietor
No

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 3

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

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allcare Medical Group LLC 25 clinicians

Practice addresses (Care Compare)

101 1St St
Glendale, OR 97442-9640
Phone 54147141068311

1716 Williams Hwy
Grants Pass, OR 97527-5661
Phone (541) 474-4527

201 NE Savage St
Grants Pass, OR 97526-1309
Phone (541) 244-2197

341 E Cottage Park Dr
Suite 1
Cave Junction, OR 97523-1238
Phone (541) 450-3625

Hospital & facility affiliations

  • Riverside Home Health Care Home health agency, Grants Pass, OR, CCN 387143
  • Asante Three Rivers Medical Center Hospital, Grants Pass, OR, CCN 380002
  • Asante Rogue Regional Medical Center Hospital, Medford, OR, CCN 380018

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20160915000382 OR Practitioner - Nurse Practitioner 8224324322 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20163827ORMDRegistered Nurse
201605315ORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allcare Medical Group LLC CurrentSince Nov 29, 2021 Accepting new patients
Ryan Baker, D.C. P.C. CurrentSince Nov 4, 2017 Accepting new patients
Axis Health, Inc. CurrentSince Nov 4, 2017 Accepting new patients
Northwest Family Practice LLC Past Accepting new patients
Mark Allen Rondeau PastSince Jan 1, 2022 Accepting new patients

Locations

341 E Cottage Park Dr
Ste 1
Cave Junction, OR 97523
Phone (541) 450-3625

1587 NW Washington Blvd
Grants Pass, OR 97526
Phone (541) 471-4106

333 SW 5th St
Ste B
Grants Pass, OR 97526
Phone (541) 471-0397

201 NE Savage St
Grants Pass, OR 97526
Phone (541) 244-2197

1585 NW Washington Blvd
Grants Pass, OR 97526
Phone (541) 474-5511

1701 NE 7th St
Grants Pass, OR 97526
Phone (541) 471-4106

124 NW Midland Ave
Ste J
Grants Pass, OR 97526
Phone (541) 476-8859

Interoperability endpoints

  • Direct secure messaging: lacyscottwyant@acmgllc.allscriptsdirect.net

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 201605315 OR Primary
Registered Nurse 163W00000X 20163827 OR

Addresses

NPPES NPI Registry

Primary practice location

1587 NW Washington Blvd
Grants Pass, OR 97526-1085

Mailing address

1701 NE 7TH St
Grants Pass, OR 97526-1319

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
500713269MedicaidOR

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 14, 2025.

{
    "created_epoch": "1430092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1306223573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 NE 7TH ST",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1587 NW WASHINGTON BLVD",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261085",
            "telephone_number": "541-476-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYANT",
        "first_name": "LACY",
        "middle_name": "ELIZABETH SCOTT",
        "credential": "RN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-27",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201605315",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "20163827",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500713269",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grants Pass, OR

Sources for this page

Verify at the official NPI Registry.