Individual provider Active NPI

Tracey Lynn Tinnon, RN,MSN,FNP-BC

  • Primary Care Nurse Practitioner
  • Benson, AZ
National Provider Identifier
1043982697
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
263513 Issued in AZ
Practice address
688 W 4TH St
Benson, AZ 85602-6314
Phone
(520) 720-6551
Fax
(520) 720-6552
NPI assigned
Oct 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 263513 AZ
Primary Care Nurse Practitioner 363LP2300X 263513 AZ Primary

Addresses

Primary practice location

688 W 4TH St
Benson, AZ 85602-6314

Mailing address

450 S Ocotillo Ave
Benson, AZ 85602-6490
Phone (520) 586-2261

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20211028003245 AZ Practitioner - Nurse Practitioner 8820486590 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Benson Hospital CorporationGroup PAC ID 3274443056, 20 clinicians

Practice addresses (Care Compare)

450 S Ocotillo Ave
Benson, AZ 85602-6403
Phone (520) 586-2261

Hospital & facility affiliations

  • Bayada Home Health Care, Inc Home health agency, Sierra Vista, AZ, CCN 037416
  • Benson Hospital Hospital, Benson, AZ, CCN 031301
  • Tucson Medical Center Hospital, Tucson, AZ, CCN 030006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
263513AZMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prescott Healthcare Solutions LLC Family CurrentSince Oct 1, 2022 Accepting new patients
Benson Hospital Corporation CurrentSince May 1, 2023 Accepting new patients
Benson Hospital Corporation CurrentSince May 1, 2023 Accepting new patients
Benson Hospital Corporation PastSince Oct 15, 2023 Accepting new patients

Locations

688 W 4th St
Benson, AZ 85602
Phone (520) 720-6551

688 W 4th St
Ste B
Benson, AZ 85602
Phone (520) 720-6551

450 S Ocotillo St
Benson, AZ 85602
Phone (520) 586-2261

560 N Camino Mercado
Ste 7
Casa Grande, AZ 85122
Phone (520) 836-5538

3336 E Chandler Heights Rd
Ste 132
Gilbert, AZ 85298
Phone (480) 988-4645

8914 N 91st Ave
Ste 100
Peoria, AZ 85345
Phone (623) 877-0100

3151 N Windsong Dr
Prescott Vly, AZ 86314
Phone (928) 458-7583

286 S Lenzner Ave
Sierra Vista, AZ 85635
Phone (520) 452-0388

286 S Lenzner Ave
Ste A
Sierra Vista, AZ 85635
Phone (520) 452-0388

5981 E Grant Rd
Ste 115
Tucson, AZ 85712
Phone (520) 886-5315

Interoperability endpoints

  • Direct secure messaging: tracey.tinnon.1@18129.direct.athenahealth.com

Organizations & group practices 4

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 3

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": "1633046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1043982697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 S OCOTILLO AVE",
            "city": "BENSON",
            "state": "AZ",
            "postal_code": "856026490",
            "telephone_number": "520-586-2261",
            "fax_number": "520-586-7283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "688 W 4TH ST",
            "city": "BENSON",
            "state": "AZ",
            "postal_code": "856026314",
            "telephone_number": "520-720-6551",
            "fax_number": "520-720-6552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINNON",
        "first_name": "TRACEY",
        "middle_name": "LYNN",
        "credential": "RN,MSN,FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-01",
        "last_updated": "2023-10-12",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "263513",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AZ",
            "license": "263513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Benson, AZ

Sources for this page

Verify at the official NPI Registry.