Individual provider Active NPI

Lacy Pippin

  • Psychiatric/Mental Health Nurse Practitioner
  • Evansville, IN
National Provider Identifier
1609659119
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
71014213A Issued in IN
Practice address
3101 N Green River Rd Ste 130
Evansville, IN 47715-1370
Phone
(812) 250-9771
Fax
(812) 916-9771
NPI assigned
Aug 17, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 71014213A IN Primary

Addresses

Primary practice location

3101 N Green River Rd Ste 130
Evansville, IN 47715-1370

Mailing address

3101 N Green River Rd Ste 130
Evansville, IN 47715-1370
Phone (812) 250-9771

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20231016002006 IN Practitioner - Nurse Practitioner 8729433479 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Echo Community Health Care IncGroup PAC ID 4981515145, shared by 4 NPIs, 18 clinicians
Brentwood Meadows Physician Group LLCGroup PAC ID 9830412956, 10 clinicians

Practice addresses (Care Compare)

315 Mulberry St
Evansville, IN 47713-1252
Phone 81242174892244

316 Chandler Ave
Evansville, IN 47713-1147
Phone (813) 436-4501

401 John St
Evansville, IN 47713-2733
Phone 81242174892244

4488 Roslin Rd
Newburgh, IN 47630-8590
Phone (812) 858-7200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
71014213AINMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brentwood Meadows Physician Group LLC Psychiatric/Mental Health CurrentSince Sep 13, 2023 Accepting new patients
Psychiatry by Design LLC Psychiatric/Mental Health Current Accepting new patients

Locations

3101 N Green River Rd
Ste 130
Evansville, IN 47715
Phone (812) 598-2835

4488 Roslin Rd
Newburgh, IN 47630
Phone (812) 710-4038

4801 Olympia Park Plz
Ste 1000
Louisville, KY 40241

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1692230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1609659119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 N GREEN RIVER RD STE 130",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477151370",
            "telephone_number": "812-250-9771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 N GREEN RIVER RD STE 130",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477151370",
            "telephone_number": "812-250-9771",
            "fax_number": "812-916-9771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIPPIN",
        "first_name": "LACY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-17",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "71014213A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.