Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lacey Wickersham, APRN

Individual provider Family Nurse Practitioner · NPI 1710716824

Lacey Wickersham, APRN is a Nurse Practitioner in Ontario, Oregon. Graduated from Yale University School of Medicine in 2022, 4 years ago. Practices with Valley Family Health Care Inc, a 45-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
4
Trained at
Yale University School of Medicine
Licensed in
OR
In the registry since
2024
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

See every abbreviation used in this directory →

Practice location Address checks out

896 Fortner St
Ontario, OR 97914-1787
Phone: (541) 881-2828
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 10026939 (OR)

Record details

NPI number1710716824
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedJuly 29, 2024
Last updated in NPPESJanuary 15, 2026
Certification dateJanuary 15, 2026
Mailing address1441 Ne 10th Ave, Payette, ID 83661-5420

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolYALE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2022 (4 years in practice)
Group practice Valley Family Health Care Inc — 45 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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