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

Lacy Gibbon, DNP

Individual provider Family Nurse Practitioner · NPI 1699384438

Lacy Gibbon, DNP is a Nurse Practitioner in Sapulpa, Oklahoma. Qualified in 2019, 7 years ago. Practices with Mercy Oklahoma Ambulatory Services LLC, a 45-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
7
Licensed in
OK
In the registry since
2020
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.

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Practice location Address checks out

949 E Taft Ave
Sapulpa, OK 74066-5728
Phone: (918) 224-6079
Fax: (918) 224-6126
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 117838 (OK)

Record details

NPI number1699384438
Entity typeIndividual (Type 1)
GenderFemale
Credentials DNP
Sole proprietorNo
NPI enumeratedJuly 28, 2020
Last updated in NPPESJuly 28, 2020
Certification dateJuly 28, 2020
Mailing address701 Cedar Lake Blvd Ste 120, Oklahoma City, OK 73114-7806

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Mercy Oklahoma Ambulatory Services Llc — 45 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Sapulpa