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

Tyler Lacey, MD

Individual provider Family Medicine Physician · NPI 1255866877

Tyler Lacey, MD is a Family Practice in Fergus Falls, Minnesota. Graduated from University of Minnesota Medical School in 2017, 9 years ago. Practices with Prairie Ridge Hospital and Health Services, a 86-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
9
Trained at
University of Minnesota Medical School
Licensed in
MN
In the registry since
2017
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

111 W Vernon Ave
Fergus Falls, MN 56537-2741
Phone: (218) 739-2221
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 64592 (MN)

Record details

NPI number1255866877
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 21, 2017
Last updated in NPPESJuly 2, 2024
Certification dateJuly 2, 2024
Mailing address712 S Cascade St, Fergus Falls, MN 56537-2913

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 2017 (9 years in practice)
Group practice Prairie Ridge Hospital And Health Services — 86 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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