Individual provider Active NPI

Traci Jinean Nixon, FNP

  • Family Nurse Practitioner
  • Salisbury, NC
National Provider Identifier
1083936710
Registry record updated Nov 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5004648 Issued in NC
Practice address
417 N Main St
Salisbury, NC 28144-4376
Phone
(980) 432-1090
Fax
(704) 471-3016
NPI assigned
Feb 22, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2021

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 5004648 NC Primary

Addresses

Primary practice location

417 N Main St
Salisbury, NC 28144-4376

Mailing address

417 N Main St
Salisbury, NC 28144-4376
Phone (980) 432-1090

Other identifiers 1

IdentifierTypeStateIssuer
1083936710MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tnixon@rowanhealthwellness.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20100813000218 NC Practitioner - Nurse Practitioner 6800920869 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rowan Health and WellnessGroup PAC ID 8022409143, 3 clinicians

Practice addresses (Care Compare)

417 N Main St
Suite F
Salisbury, NC 28144-4358
Phone (980) 432-1090

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Kernersville, NC, CCN 347318
  • Novant Health Rowan Medical Center Hospital, Salisbury, NC, CCN 340015

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5004648NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rowan Health and Wellness CurrentSince Nov 1, 2021 Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Carolinas Physicians Network Inc CurrentSince Jan 25, 2016 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Jan 25, 2016 Accepting new patients
Carolinas Physicians Network Inc Past Accepting new patients

Locations

5641 Poplar Tent Rd
Ste 101
Concord, NC 28027
Phone (704) 782-1955

270 Copperfield Blvd NE
Ste 102
Concord, NC 28025
Phone (704) 721-2060

417 N Main St
Salisbury, NC 28144
Phone (704) 636-0838

417 N Main St
Ste F
Salisbury, NC 28144
Phone (980) 330-7103

Interoperability endpoints

  • Direct secure messaging: traci.nixon@rhw.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/CAJJDD/Endpoint/CAJJDD
  • FHIR API: https://fhir4.healow.com/fhir/r4/CAJJDD

Organizations & group practices 5

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": "1266796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637107200000",
    "number": "1083936710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 N MAIN ST",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281444376",
            "telephone_number": "980-432-1090",
            "fax_number": "704-471-3016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 N MAIN ST",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281444376",
            "telephone_number": "980-432-1090",
            "fax_number": "704-471-3016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIXON",
        "first_name": "TRACI",
        "middle_name": "JINEAN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-22",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5004648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083936710",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tnixon@rowanhealthwellness.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "417 N Main St",
            "city": "Salisbury",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281444376",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Salisbury, NC

Sources for this page

Verify at the official NPI Registry.