Individual provider Active NPI

Tracee Lynn Hebert, APRN, CFNP

  • Family Nurse Practitioner
  • Ragley, LA
National Provider Identifier
1093728024
Registry record updated Aug 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP04974 Issued in LA
Practice address
579 Turps Rd
Ragley, LA 70657-7213
Phone
(337) 515-8453
NPI assigned
Aug 14, 2006
Last updated
Aug 21, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2012

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 AP04974 LA Primary

Addresses

Primary practice location

579 Turps Rd
Ragley, LA 70657-7213

Mailing address

579 Turps Rd
Ragley, LA 70657-7213
Phone (337) 515-8453

Other identifiers 1

IdentifierTypeStateIssuer
1584452MedicaidLA

Other names 1

  • Miss Tracee Lynn Kircus Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20070203000059 LA Practitioner - Nurse Practitioner 5799787768 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1701 Oak Park Blvd
Lake Charles, LA 70601-8911
Phone (337) 494-3036

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP04974LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Emergency Medicine Management -- Lake Charles LLC CurrentSince Dec 6, 2016 Accepting new patients
Riverside Emergency Physician Partners LLC CurrentSince Nov 1, 2023 Accepting new patients
DM Properties of Lafayette, LLC CurrentSince Dec 18, 2013 Accepting new patients
Calcasieu Cameron Hospital Medicine Group LLC CurrentSince Dec 1, 2020 Accepting new patients
Calcasieu Cameron Emergency Physician Group LLC CurrentSince Dec 1, 2020 Accepting new patients
DM Properties of Lafayette, LLC CurrentSince Dec 18, 2013 Accepting new patients
Emergency Medicine Specialist, Apmc Past Accepting new patients

Locations

211 4th St
Alexandria, LA 71301
Phone (318) 473-3000

3601 Jackson Street Ext
Alexandria, LA 71303
Phone (318) 787-6877

1701 Oak Park Blvd
Lake Charles, LA 70601
Phone (337) 494-3000

3983 I 49 S Service Rd
Opelousas, LA 70570
Phone (337) 407-4512

539 E Prudhomme St
Opelousas, LA 70570
Phone (337) 943-7128

1900 Main St
Sheridan, LA 70438
Phone (985) 795-4294

701 Cypress St
Sulphur, LA 70663
Phone (337) 527-4270

Interoperability endpoints

  • Direct secure messaging: thebert5286192@direct.casso.us.com

Organizations & group practices 7

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.

Hospital & facility affiliations 3

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": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345507200000",
    "number": "1093728024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "579 TURPS RD",
            "city": "RAGLEY",
            "state": "LA",
            "postal_code": "706577213",
            "telephone_number": "337-515-8453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "579 TURPS RD",
            "city": "RAGLEY",
            "state": "LA",
            "postal_code": "706577213",
            "telephone_number": "337-515-8453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEBERT",
        "first_name": "TRACEE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "APRN, CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2012-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP04974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1584452",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACEE",
            "last_name": "KIRCUS",
            "middle_name": "LYNN",
            "prefix": "MISS",
            "credential": "APRN, CFNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ragley, LA

Sources for this page

Verify at the official NPI Registry.