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

Stacey Lyn Ice, CNP

Individual provider Family Nurse Practitioner · NPI 1861845786

Stacey Lyn Ice, CNP is a Nurse Practitioner in Toledo, Ohio. Graduated from Medical College of Ohio in 2016, 10 years ago. Practices with Defiance Hospital Inc, a 3-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
10
Trained at
Medical College of Ohio
Licensed in
OH
In the registry since
2016
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

4235 Secor Rd
Toledo, OH 43623-4231
Phone: (419) 479-5418
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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 CNP.019449 (OH)

Record details

NPI number1861845786
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorNo
NPI enumeratedJuly 15, 2016
Last updated in NPPESJuly 15, 2016
Mailing address4235 Secor Rd, Toledo, OH 43623-4231

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolMEDICAL COLLEGE OF OHIO
Graduated 2016 (10 years in practice)
Group practice Defiance Hospital Inc. — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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