Individual provider Active NPI

Tracey Lynn Williams

  • Family Nurse Practitioner
  • Branson, MO
National Provider Identifier
1093165441
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2016004486 Issued in MO
Practice address
525 Branson Landing Blvd Ste 408
Branson, MO 65616-2192
Phone
(417) 348-8313
Fax
(417) 348-8319
NPI assigned
Jun 16, 2016
Last updated
Nov 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2016004486 MO Primary
Maternal Newborn Registered Nurse 163WM0102X 137348 MO

Addresses

Primary practice location

525 Branson Landing Blvd Ste 408
Branson, MO 65616-2192

Mailing address

525 Branson Landing Blvd
Branson, MO 65616-2052
Phone (417) 348-8270

Other names 1

  • Tracey Lynn McFall Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20160729000234 MO Practitioner - Nurse Practitioner 6608169537 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
137348MOMDMaternal Newborn Registered Nurse
2016004486MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Skaggs Community Hospital Association CurrentSince Jul 15, 2016 Accepting new patients
Skaggs Community Hospital Association CurrentSince Jul 15, 2016 Accepting new patients
Skaggs Community Hospital Association Past Accepting new patients

Locations

525 Branson Landing Blvd
Ste 408
Branson, MO 65616
Phone (417) 335-7022

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.

NPI Registry JSON

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

{
    "created_epoch": "1466035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1093165441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 BRANSON LANDING BLVD",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656162052",
            "telephone_number": "417-348-8270",
            "fax_number": "417-348-8319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 BRANSON LANDING BLVD STE 408",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656162192",
            "telephone_number": "417-348-8313",
            "fax_number": "417-348-8319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "TRACEY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-16",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2016004486",
            "primary": true
        },
        {
            "code": "163WM0102X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Maternal Newborn",
            "state": "MO",
            "license": "137348",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACEY",
            "last_name": "MCFALL",
            "middle_name": "LYNN",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Branson, MO

Sources for this page

Verify at the official NPI Registry.