Tracy A Donahue, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71000396A Issued in IN

Practice address

14540 Prairie Lakes Blvd N
Suite 207
Noblesville, IN 46060-4366

Phone

(317) 621-2455

Fax

(317) 355-6166

NPI assigned

May 23, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

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

Specialty

Nurse Practitioner

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Academy Allergy Asthma and Sinus, PCGroup PAC ID 4284614975, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Indiana University Health Hospital, Indianapolis, IN, CCN 150056

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Interoperability endpoints

• Direct secure messaging: donahue.tracy.004.0140038@academyallergy.meditab.direct-ci.com

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.

• Academy Allergy Asthma & Sinus, PC

  • Allergy Physician
  • Noblesville, IN
  • NPI 1780653535
  Medicare reassignment Care Compare group NPD
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Indiana University Health Inc

  • General Acute Care Hospital
  • Indianapolis, IN
  • NPI 1144266024
  Care Compare affiliation

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372636800000",
    "number": "1093718173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14540 PRAIRIE LAKES BLVD N",
            "address_2": "SUITE 207",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460604366",
            "telephone_number": "317-621-2455",
            "fax_number": "317-355-6166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14540 PRAIRIE LAKES BLVD N",
            "address_2": "SUITE 207",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460604366",
            "telephone_number": "317-621-2455",
            "fax_number": "317-355-6166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONAHUE",
        "first_name": "TRACY",
        "middle_name": "A",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-23",
        "last_updated": "2013-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71000396A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Directed Rehabilitation Services
• Janet Leigh Ditslear, MA, LMFTA
• John H Ditslear, MD
• Cheryl L Ditzler, CNS
• Diversified Medical Services
• Donesty'S Loving Touch Home Care Services, LLC
• Michael Doty, LMFT
• Shelby Elise Doty
• Samantha Dougherty
• Breanna Dawn Dove, PA-C

• Family Nurse Practitioner in Noblesville, IN
• Providers in Noblesville, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2013; 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.

Verify at the official NPI Registry.