Individual provider Active NPI

Tracy Watson, CNP

  • Acute Care Nurse Practitioner
  • Rocky River, OH
National Provider Identifier
1063883007
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
18272 Issued in OH
Practice address
1250 Linda St
Suite 103
Rocky River, OH 44116-1853
Phone
(440) 250-3560
Fax
(330) 670-8569
NPI assigned
Oct 16, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 18272 OH Primary
Nurse Practitioner 363L00000X 18272-NP OH

Addresses

Primary practice location

1250 Linda St
Suite 103
Rocky River, OH 44116-1853

Mailing address

1250 Linda St
Suite 103
Rocky River, OH 44116-1853
Phone (440) 250-3560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20151112003127 OH Practitioner - Nurse Practitioner 9638489123 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Cincinnati College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pain Management Group LLCGroup PAC ID 0143453670, 54 clinicians
Long-Term Care Pulmonary Consultants, LLCGroup PAC ID 3476960774, 11 clinicians

Practice addresses (Care Compare)

230 Medical Ctr Dr
Seaman, OH 45679-8002
Phone (937) 386-3099

6624 Pleasant St
Cincinnati, OH 45227-4244
Phone (419) 560-2638

Hospital & facility affiliations

  • Trihealth Clinton Regional Hospital Hospital, Wilmington, OH, CCN 360175
  • Adams County Regional Medical Center Hospital, Seaman, OH, CCN 361326

Merit-based Incentive Payment System (MIPS)

Final score
75.6 of 100Reported as group
Quality
75.56
Improvement activities
40
Cost
59.98

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18272-NPOHMDNurse Practitioner
18272OHMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Management Group LLC Nurse Practitioner CurrentSince Aug 26, 2024 Accepting new patients
Long-Term Care Pulmonary Consultants, LLC CurrentSince Feb 15, 2026 Accepting new patients

Locations

442 W High St
Bryan, OH 43506
Phone (260) 266-8210

230 Medical Center Dr
Seaman, OH 45679
Phone (937) 386-3400

630 W Main St
Ste 102
Wilmington, OH 45177
Phone (937) 283-2580

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1444953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780012800000",
    "number": "1063883007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 LINDA ST",
            "address_2": "SUITE 103",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441161853",
            "telephone_number": "440-250-3560",
            "fax_number": "330-670-8569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 LINDA ST",
            "address_2": "SUITE 103",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441161853",
            "telephone_number": "440-250-3560",
            "fax_number": "330-670-8569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "TRACY",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-16",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OH",
            "license": "18272",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "18272-NP",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky River, OH

Sources for this page

Verify at the official NPI Registry.