Individual provider Active NPI

Tracye Fowler, FNP

  • Family Nurse Practitioner
  • Yukon, OK
National Provider Identifier
1073995999
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
89619 Issued in OK
Practice address
10948 NW Expressway
Yukon, OK 73099-8785
Phone
(405) 883-1086
Fax
(405) 883-1127
NPI assigned
Jun 27, 2015
Last updated
Feb 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 89619 OK Primary

Addresses

Primary practice location

10948 NW Expressway
Yukon, OK 73099-8785

Mailing address

10948 NW Expressway
Yukon, OK 73099-8785
Phone (405) 883-1086

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20160414001233 OK Practitioner - Nurse Practitioner 8921306598 Reassigns benefits to 6 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
89619OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital Logan County, Inc CurrentSince Aug 14, 2017 Accepting new patients
Mercy Hospital Logan County Inc Current Accepting new patients
Mercy Clinic Oklahoma Communities CurrentSince Jan 16, 2017 Accepting new patients
Mercy Hospital Healdton, Inc. CurrentSince Oct 9, 2017 Accepting new patients
Emergency Physicians of Midwest City, LLC CurrentSince Nov 15, 2022 Accepting new patients
Mercy Hospital Healdton, Inc CurrentSince Oct 9, 2017 Accepting new patients
Mercy Hospital Logan County, Inc CurrentSince Aug 14, 2017 Accepting new patients
Virtual Medical Solutions, LLC CurrentSince Jan 1, 2023 Accepting new patients
Ehp of Ponca City LLC CurrentSince Jan 1, 2025 Accepting new patients
Access Health Family and Urgent Care, LLC PastSince Nov 9, 2025 Accepting new patients
Mercy Hospital Oklahoma City, Inc Past Accepting new patients

Locations

430 N Monte Vista St
Ada, OK 74820
Phone (580) 226-1251

1011 14th Ave NW
Ardmore, OK 73401
Phone (580) 220-6658

1420 12th Ave NW
Ardmore, OK 73401
Phone (580) 798-4122

1 S Bryant Ave
Edmond, OK 73034
Phone (405) 341-6100

200 S Academy Rd
Guthrie, OK 73044
Phone (405) 260-4165

2919 S Division St
Guthrie, OK 73044
Phone (405) 282-6301

3462 Hospital Rd
Healdton, OK 73438
Phone (580) 229-0701

3472 Hospital Rd
Healdton, OK 73438
Phone (580) 229-0079

4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455

4300 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 752-3962

4505 Memorial Cir
Oklahoma City, OK 73142
Phone (405) 749-7099

8325 NW Expressway
Oklahoma City, OK 73162
Phone (405) 728-8000

1900 N 14th St
Ponca City, OK 74601
Phone (580) 718-2932

900 17th St
Woodward, OK 73801
Phone (405) 610-4411

Organizations & group practices 11

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1435363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771545600000",
    "number": "1073995999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10948 NW EXPRESSWAY",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730998785",
            "telephone_number": "405-883-1086",
            "fax_number": "405-883-1127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10948 NW EXPRESSWAY",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730998785",
            "telephone_number": "405-883-1086",
            "fax_number": "405-883-1127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "TRACYE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-27",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "89619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yukon, OK

Sources for this page

Verify at the official NPI Registry.