Active NPI
Tracey Lynn Tinnon, RN,MSN,FNP-BC
- Primary Care Nurse Practitioner
- Benson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 263513
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
Practice addresses (Care Compare)
450 S Ocotillo Ave
Benson, AZ 85602-6403
Phone (520) 586-2261
Hospital & facility affiliations
- Bayada Home Health Care, Inc
- Benson Hospital
- Tucson Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 263513 | AZ | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prescott Healthcare Solutions LLC | Family | Current | Accepting new patients |
| Benson Hospital Corporation | Current | Accepting new patients | |
| Benson Hospital Corporation | Current | Accepting new patients | |
| Benson Hospital Corporation | Past | 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
- 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.
-
- Critical Access Hospital
- Benson, AZ
- NPI 1336118322
-
- Family Medicine Physician
- Prescott, AZ
- NPI 1821454505
-
- Rural Health Clinic/Center
- Vail, AZ
- NPI 1457924920
-
- Rural Health Clinic/Center
- Benson, AZ
- NPI 1205327582
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Sierra Vista, AZ
- NPI 1912291139
-
- Critical Access Hospital
- Benson, AZ
- NPI 1336118322
-
- General Acute Care Hospital
- Tucson, AZ
- NPI 1174512792
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.