Active NPI
Tracy Thomas Germaine, AGACNP-BC
- Gerontology Nurse Practitioner
- Fredericksburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 0024172774
- Practice address
- 9530 Cosner Dr
Suite 200
Fredericksburg, VA 22408-7760 - Phone
- (540) 373-1331
- NPI assigned
- Jul 24, 2015
- Last updated
- Jul 24, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 0024172774 | VA | Primary |
Addresses
Primary practice location
9530 Cosner Dr
Suite 200
Fredericksburg, VA 22408-7760
Mailing address
9530 Cosner Dr
Suite 200
Fredericksburg, VA 22408-7760
Phone (540) 373-1331
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carelon Medical Partners, PC | Current | Accepting new patients | |
| Legacy Care Aco LLC | Current | Accepting new patients |
Locations
333 Commerce St
Ste 700
Nashville, TN 37201
Phone (615) 627-2293
74 Mizpah Rd
Locust Hill, VA 23092
Phone (804) 758-5260
919 E Main St
Ste 1000
Richmond, VA 23219
Phone (804) 729-6904
2901 S Lynnhaven Rd
Ste 450
Virginia Beach, VA 23452
Phone (757) 351-4585
780 Lynnhaven Pkwy
Ste 400
Virginia Beach, VA 23452
Phone (201) 581-3411
Interoperability endpoints
- tgermaine20255@carelonhealth.direct-ci.com
Organizations & group practices 2
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.
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Nashville, TN
- NPI 1124443403
VA
-
- Family Medicine Physician
- Virginia BCH, VA
- NPI 1538844857
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437696000000",
"number": "1053796607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9530 COSNER DR",
"address_2": "SUITE 200",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224087760",
"telephone_number": "540-373-1331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9530 COSNER DR",
"address_2": "SUITE 200",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224087760",
"telephone_number": "540-373-1331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERMAINE",
"first_name": "TRACY",
"middle_name": "THOMAS",
"credential": "AGACNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-24",
"last_updated": "2015-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "VA",
"license": "0024172774",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fredericksburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.