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

Mrs. Lacy B Ihde, NPC

Individual provider Nurse Practitioner · NPI 1265847305

Mrs. Lacy B Ihde, NPC is a Nurse Practitioner in Fond Du Lac, Wisconsin. Qualified in 2014, 12 years ago. Practices with The Neuroscience Group of Northeast Wisconsin SC, a 60-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
12
Licensed in
WI
In the registry since
2014
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Practice location Address checks out

420 E Division St
Fond Du Lac, WI 54935-4560
Phone: (920) 926-5526
Fax: (920) 926-8963
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 5864-33 (WI)

Record details

NPI number1265847305
Entity typeIndividual (Type 1)
GenderFemale
Credentials NPC
Sole proprietorNo
NPI enumeratedJune 27, 2014
Last updated in NPPESOctober 21, 2020
Certification dateOctober 21, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice The Neuroscience Group Of Northeast Wisconsin Sc — 60 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Fond Du Lac