Individual provider Active NPI

Tracy Robinson, NP

  • Family Nurse Practitioner
  • Manistee, MI
National Provider Identifier
1023529260
Registry record updated Apr 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704220857 Issued in MI
Practice address
1293 E Parkdale Ave
Manistee, MI 49660-8904
Phone
(231) 398-1550
Fax
(231) 398-1691
NPI assigned
Oct 16, 2017
Last updated
Apr 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704220857 MI Primary

Addresses

Primary practice location

1293 E Parkdale Ave
Manistee, MI 49660-8904

Mailing address

1293 E Parkdale Ave
Manistee, MI 49660-8904
Phone (231) 398-1550

Other practice location 1

2198 US 31 S
Manistee, MI 49660-9618
Phone (231) 723-3567

Other practice location 2

1293 E Parkdale Ave
Manistee, MI 49660-8904
Phone (231) 398-1710

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171023002716 MI Practitioner - Nurse Practitioner 1355617150 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Michigan State University College of Human Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1293 E Parkdale Ave
Manistee, MI 49660-8904

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Munson Healthcare Manistee Hospital Current Accepting new patients
Munson Healthcare Manistee Hospital CurrentSince Jan 14, 2020 Accepting new patients
Munson Healthcare Manistee Hospital Past Accepting new patients

Locations

1293 E Parkdale Ave
Manistee, MI 49660
Phone (231) 398-1735

1293 E Parkdale Ave
Ste 1200C
Manistee, MI 49660
Phone (231) 398-1710

1465 E Parkdale Ave
Manistee, MI 49660
Phone (231) 398-1000

1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1508112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682553600000",
    "number": "1023529260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1293 E PARKDALE AVE",
            "city": "MANISTEE",
            "state": "MI",
            "postal_code": "496608904",
            "telephone_number": "231-398-1550",
            "fax_number": "231-398-1691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1293 E PARKDALE AVE",
            "city": "MANISTEE",
            "state": "MI",
            "postal_code": "496608904",
            "telephone_number": "231-398-1550",
            "fax_number": "231-398-1691"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2198 US 31 S",
            "address_purpose": "LOCATION",
            "city": "Manistee",
            "state": "MI",
            "postal_code": "496609618",
            "country_code": "US",
            "telephone_number": "231-723-3567",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1293 E Parkdale Ave",
            "address_purpose": "LOCATION",
            "city": "Manistee",
            "state": "MI",
            "postal_code": "496608904",
            "country_code": "US",
            "telephone_number": "231-398-1710",
            "fax_number": "231-398-1716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "TRACY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-16",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704220857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manistee, MI

Sources for this page

Verify at the official NPI Registry.