Active NPI
Lacey Lynn Mills, APRN FNP-C
- Nurse Practitioner
- Florence, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 202001089NP-PP
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 818088 | NV | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doctors Center at Red Rock Capobianco PLLC | Current | Accepting new patients | |
| Clinicops, LLC | Family | Current | Accepting new patients |
| Clinicops LLC | Current | 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
- 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.
-
- Family Medicine Physician
- Portland, OR
- NPI 1275821266
-
- Addiction Medicine (Family Medicine) Physician
- Las Vegas, NV
- NPI 1942688932
-
- Internal Medicine Physician
- Florence, OR
- NPI 1497251268
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Florence, OR
- NPI 1578552402
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2020; 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.