Individual provider Active NPI

Lacey Lynn Mills, APRN FNP-C

  • Nurse Practitioner
  • Florence, OR
National Provider Identifier
1821552225
Registry record updated Sep 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
202001089NP-PP Issued in OR
Practice address
380 9TH St
Florence, OR 97439-9470
Phone
(541) 997-7134
Fax
(541) 902-1320
NPI assigned
Jan 30, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 818088 NV
Nurse Practitioner 363L00000X 202001089NP-PP OR Primary

Addresses

Primary practice location

380 9TH St
Florence, OR 97439-9470

Mailing address

1115 SE 164TH Ave Dept 358
Vancouver, WA 98683-8004
Phone (360) 729-1253

Other practice location 1

8413 W Lake Mead Blvd
Las Vegas, NV 89128-7638
Phone (702) 660-5600

Other practice location 2

390 9th St
Florence, OR 97439-9470
Phone (541) 997-7134

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20191219002103 NV Practitioner - Nurse Practitioner 3274967500 Reassigns benefits to 1 organization
I20200306001879 OR Practitioner - Nurse Practitioner 3274967500 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Clinicops LLCGroup PAC ID 9739343245, 25 clinicians

Practice addresses (Care Compare)

2970 Hwy 101
Florence, OR 97439-9711
Phone (866) 972-0235

3 River Ave
Eugene, OR 97404-2506
Phone (866) 972-0235

923 NW 14TH Ave
Portland, OR 97209-2704
Phone (503) 972-0235

Hospital & facility affiliations

  • Peace Harbor Medical Center Hospital, Florence, OR, CCN 381316

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
818088NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors Center at Red Rock Capobianco PLLC CurrentSince Oct 7, 2019 Accepting new patients
Clinicops, LLC Family CurrentSince Jul 5, 2022 Accepting new patients
Clinicops LLC CurrentSince May 25, 2025 Accepting new patients

Locations

2801 N Tenaya Way
Ste C
Las Vegas, NV 89128
Phone (702) 684-7800

8413 W Lake Mead Blvd
Las Vegas, NV 89128
Phone (702) 247-6401

2970 Highway 101
Florence, OR 97439
Phone (541) 902-0800

2459 SE Tualatin Valley Hwy
Hillsboro, OR 97123
Phone (971) 275-8783

Interoperability endpoints

  • Direct secure messaging: lacey.mills.1@32746.direct.athenahealth.com

Organizations & group practices 3

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 1

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": "1548806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600646400000",
    "number": "1821552225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 SE 164TH AVE DEPT 358",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986838004",
            "telephone_number": "360-729-1253",
            "fax_number": "360-729-3185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 9TH ST",
            "city": "FLORENCE",
            "state": "OR",
            "postal_code": "974399470",
            "telephone_number": "541-997-7134",
            "fax_number": "541-902-1320"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8413 W Lake Mead Blvd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891287638",
            "country_code": "US",
            "telephone_number": "702-660-5600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "390 9th St",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "OR",
            "postal_code": "974399470",
            "country_code": "US",
            "telephone_number": "541-997-7134",
            "fax_number": "541-902-1319",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLS",
        "first_name": "LACEY",
        "middle_name": "LYNN",
        "credential": "APRN FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-30",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "818088",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": "202001089NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, OR

Sources for this page

Verify at the official NPI Registry.