Active NPI
Lacy Elizabeth Scott Wyant, RN, FNP
- Family Nurse Practitioner
- Grants Pass, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 201605315
- 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.
-
- Chiropractor
- Grants Pass, OR
- NPI 1336203835
-
- Family Medicine Physician
- Grants Pass, OR
- NPI 1861674780
-
- Family Medicine Physician
- Grants Pass, OR
- NPI 1891347415
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Grants Pass, OR
- NPI 1801891809
Hospital
-
- Home Health Agency
- Grants Pass, OR
- NPI 1841805223
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
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
- Asante Three Rivers Medical Center
- Asante Rogue Regional Medical Center
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 20163827 | OR | MD | Registered Nurse |
| 201605315 | OR | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allcare Medical Group LLC | Current | Accepting new patients | |
| Ryan Baker, D.C. P.C. | Current | Accepting new patients | |
| Axis Health, Inc. | Current | Accepting new patients | |
| Northwest Family Practice LLC | Past | Accepting new patients | |
| Mark Allen Rondeau | Past | 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
- lacyscottwyant@acmgllc.allscriptsdirect.net
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 201605315 | OR | Primary |
| Registered Nurse | 163W00000X | 20163827 | OR |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500713269 | Medicaid | OR |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.