Active NPI
Tracee Lynn Hebert, APRN, CFNP
- Family Nurse Practitioner
- Ragley, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP04974
- Practice address
- 579 Turps Rd
Ragley, LA 70657-7213 - Phone
- (337) 515-8453
- NPI assigned
- Aug 14, 2006
- Last updated
- Aug 21, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1584452 | Medicaid | LA |
Other names 1
- Miss Tracee Lynn Kircus
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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| AP04974 | LA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Emergency Medicine Management -- Lake Charles LLC | Current | Accepting new patients | |
| Riverside Emergency Physician Partners LLC | Current | Accepting new patients | |
| DM Properties of Lafayette, LLC | Current | Accepting new patients | |
| Calcasieu Cameron Hospital Medicine Group LLC | Current | Accepting new patients | |
| Calcasieu Cameron Emergency Physician Group LLC | Current | Accepting new patients | |
| DM Properties of Lafayette, LLC | Current | 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
- 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.
-
- Emergency Medicine Physician
- Lake Charles, LA
- NPI 1023430766
-
- Emergency Medicine Physician
- Sulphur, LA
- NPI 1699167478
-
- Hospitalist Physician
- Sulphur, LA
- NPI 1659764967
-
dba Premier Urgent Care
- Urgent Care Clinic/Center
- Alexandria, LA
- NPI 1659613537
-
dba Premier Urgent Care
- Urgent Care Clinic/Center
- Jena, LA
- NPI 1730722471
-
- Emergency Medicine Physician
- Lafayette, LA
- NPI 1083107080
-
- Emergency Medicine Physician
- Lake Charles, LA
- NPI 1750460234
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Digestive Health Center of SWLA
- Gastroenterology Physician
- Lake Charles, LA
- NPI 1285351411
Hospital
-
dba Rheumatology Associates
- Rheumatology Physician
- Lake Charles, LA
- NPI 1659424075
Hospital
-
dba Lake Charles Memorial Hospital
- General Acute Care Hospital
- Lake Charles, LA
- NPI 1972549855
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2012; 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.