NPIMap

Individual provider Active NPI

Traci A McCartney, APN

  • Nurse Practitioner
  • Clarksville, IN
National Provider Identifier
1043275530
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71001451A Issued in IN
Practice address
2051 Clevidence Blvd
Suite 1
Clarksville, IN 47129-2278
Phone
(812) 280-9145
Fax
(812) 280-6641
NPI assigned
Apr 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71001451A IN Primary

Addresses

Primary practice location

2051 Clevidence Blvd
Suite 1
Clarksville, IN 47129-2278

Mailing address

PO Box 776351
Chicago, IL 60677-6351
Phone (502) 272-5100

Other identifiers 7

IdentifierTypeStateIssuer
020503OtherINSIHO
1374624OtherINCIGNA
P00002514OtherINRAILROAD MEDICARE
000000268802OtherINANTHEM
000023031MOtherINHUMANA
196260LOtherINMEDICARE
200429070MedicaidIN

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address tmccartney5168@direct.nortonhealthcare.org
FHIR URL https://epicsoap.nortonhealthcare.org/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111020000452 IN Practitioner - Nurse Practitioner 0749452597 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Medical Associates IncGroup PAC ID 7012811284, 1,368 clinicians

Practice addresses (Care Compare)

1373 E State Rd
Madison, IN 47250-7328

2051 Clevidence Blvd
Clarksville, IN 47129-2278

630 N Broadway St
Madison, IN 47250-7328
Phone (812) 801-0995

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.11 of 100Reported as group
Quality
63.34
Promoting interoperability
100
Improvement activities
40
Cost
73.68

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71001451AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. Nurse Practitioner CurrentSince Oct 14, 2002 Accepting new patients
Community Medical Associates, Inc. Nurse Practitioner CurrentSince Oct 14, 2002 Accepting new patients
Community Medical Associates, Inc. Nurse Practitioner Past Accepting new patients

Locations

2051 Clevidence Blvd
Clarksville, IN 47129
Phone (812) 280-6650

2051 Clevidence Blvd
Ste 1
Clarksville, IN 47129
Phone (812) 280-9145

2051 Clevidence Blvd
Ste B
Clarksville, IN 47129
Phone (502) 629-2030

1373 E State Road 62
#6F
Madison, IN 47250
Phone (502) 629-7181

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 and National Provider Directory roles.

Hospital & facility affiliations 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1043275530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776351",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776351",
            "telephone_number": "502-272-5100",
            "fax_number": "502-272-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 CLEVIDENCE BLVD",
            "address_2": "SUITE 1",
            "city": "CLARKSVILLE",
            "state": "IN",
            "postal_code": "471292278",
            "telephone_number": "812-280-9145",
            "fax_number": "812-280-6641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARTNEY",
        "first_name": "TRACI",
        "middle_name": "A",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-19",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71001451A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIHO",
            "identifier": "020503",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1374624",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00002514",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000268802",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "000023031M",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "196260L",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200429070",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tmccartney5168@direct.nortonhealthcare.org",
            "affiliation": "N",
            "address_1": "2051 Clevidence Blvd",
            "address_2": "Suite 1",
            "city": "Clarksville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "471292278",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicsoap.nortonhealthcare.org/",
            "affiliation": "N",
            "address_1": "2051 Clevidence Blvd",
            "address_2": "Suite 1",
            "city": "Clarksville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "471292278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clarksville, IN

Sources for this page

Verify at the official NPI Registry.