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

Lacie Shae Burge, NP

Individual provider Family Nurse Practitioner · NPI 1972043305

Lacie Shae Burge, NP is a Nurse Practitioner in Winchester, Indiana. Qualified in 2017, 9 years ago. Practices with Iu Health Medical Group, LLC, a 4,351-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
9
Licensed in
IN
In the registry since
2017
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

400 S Oak Street Randolph Medical Ctr
Winchester, IN 47394
Phone: (765) 584-6600
Fax: (765) 584-6503
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 9180 W 500 N, Farmland, IN 47340-9298 — (765) 509-0408
  • 2901 W Jackson St, Muncie, IN 47304-4307 — (765) 747-4332

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 71007164A (IN)

Record details

NPI number1972043305
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedMarch 4, 2017
Last updated in NPPESAugust 28, 2024
Certification dateAugust 28, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Iu Health Medical Group, Llc — 4351 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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