Active NPI
Traci Doerre
- Nurse Practitioner
- Fredericksburg, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP133037
- Practice address
- 205 W Windcrest Dr
Fredericksburg, TX 78624-4479 - Phone
- (830) 388-7785
- Fax
- (830) 218-0363
- NPI assigned
- Feb 1, 2017
- Last updated
- Oct 1, 2026
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP133037 | TX | Primary |
| Gerontology Nurse Practitioner | 363LG0600X | AP133037 | TX | |
| Primary Care Nurse Practitioner | 363LP2300X | AP133037 | TX |
Addresses
Primary practice location
205 W Windcrest Dr
Fredericksburg, TX 78624-4479
Mailing address
250 Cully Dr
Kerrville, TX 78028-5950
Phone (830) 258-7288
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- 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, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
205 W Windcrest St
Suite 130
Fredericksburg, TX 78624-4478
Phone (830) 990-1404
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP133037 | TX | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peterson Medical Associates | Current | Accepting new patients | |
| South Texas Physician Group, PLLC | Current | Accepting new patients | |
| Nocturna of Waco LP | Past | Accepting new patients |
Locations
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
1020 S State Highway 16
Fredericksburg, TX 78624
Phone (830) 990-1555
551 Hill Country Dr
Kerrville, TX 78028
Phone (830) 257-5414
823 Junction Hwy
Kerrville, TX 78028
Phone (830) 258-6300
Interoperability endpoints
- traci.doerre@hca7.eclinicaldirectplus.com
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.
-
- Internal Medicine Physician
- Fredericksburg, TX
- NPI 1952016685
-
- Obstetrics & Gynecology Physician
- Kerrville, TX
- NPI 1770800575
-
- Sleep Disorder Diagnostic Clinic/Center
- Waco, TX
- NPI 1821250259
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Methodist Hospital Hill Country
- General Acute Care Hospital
- Fredericksburg, TX
- NPI 1376256354
-
dba Peterson Regional Medical Center
- Rural Acute Care Hospital
- Kerrville, TX
- NPI 1790782704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790812800000",
"number": "1053859819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 CULLY DR",
"city": "KERRVILLE",
"state": "TX",
"postal_code": "780285950",
"telephone_number": "830-258-7288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 W WINDCREST DR",
"city": "FREDERICKSBURG",
"state": "TX",
"postal_code": "786244479",
"telephone_number": "830-388-7785",
"fax_number": "830-218-0363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOERRE",
"first_name": "TRACI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-01",
"last_updated": "2026-10-01",
"certification_date": "2026-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "AP133037",
"primary": true
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "TX",
"license": "AP133037",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "TX",
"license": "AP133037",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fredericksburg, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; 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.