Active NPI
Tracie L. Krob, FNP
- Family Nurse Practitioner
- Branson, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 20050063342
- Practice address
- 525 Branson Landing Blvd Ste 306
Branson, MO 65616-2140 - Phone
- (417) 335-7559
- NPI assigned
- Feb 13, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | A004382 | AR | |
| Family Nurse Practitioner | 363LF0000X | 24908 | TN | |
| Family Nurse Practitioner | 363LF0000X | 20050063342 | MO | Primary |
Addresses
Primary practice location
525 Branson Landing Blvd Ste 306
Branson, MO 65616-2140
Mailing address
770 Black Forest LN
Branson West, MO 65737-7771
Phone (417) 894-9194
Other practice location 1
7751 Wolf River Blvd
Germantown, TN 38138
Phone (901) 297-4000
Other practice location 2
2115 S Fremont Ave
Suite 4300
Springfield, MO 65804
Phone (417) 820-3911
Other practice location 3
2115 S Fremont Ave
Suite 4300
Springfield, MO 65804-2239
Phone (417) 820-3911
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, AR, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of South Alabama College of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercy Clinic Springfield Communities
Practice addresses (Care Compare)
2115 S Fremont Ave
3300 MC Gastroenterology Whiteside
Springfield, MO 65804-2246
Phone (417) 820-5200
Hospital & facility affiliations
- Mercy Hospital Springfield
- Mercy Hospital Lebanon
- Mercy Hospital Aurora
- Mercy Hospital Berryville
- Mercy St Francis Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20050063342 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Arkansas Clinic Charitable Foundation, Inc. | Current | Accepting new patients | |
| Northeast Arkansas Clinic Charitable Foundation, Inc. | Current | Accepting new patients | |
| Mercy Clinic Springfield Communities | Current | Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients | |
| Mercy Clinic Joplin LLC | Past | Accepting new patients | |
| Northeast Arkansas Clinic Charitable Foundation, Inc. | Past | Accepting new patients |
Locations
1111 Windover Rd
Jonesboro, AR 72401
Phone (870) 935-5432
3817 S Springfield Ave
Ste 180
Bolivar, MO 65613
Phone (417) 820-5750
448 State Highway 248
Ste 180
Branson, MO 65616
Phone (417) 820-2064
100 Mercy Way
Ste 330
Joplin, MO 64804
100 Mercy Way
Ste 320330
Joplin, MO 64804
Phone (417) 627-9993
100 Mercy Way
Ste 320
Joplin, MO 64804
Phone (417) 556-8500
120 Hospital Dr
Ste 250
Lebanon, MO 65536
Phone (417) 533-6710
315 E Cleveland Ave
Monett, MO 65708
Phone (417) 235-0196
1605 Martin Springs Dr
Ste 330
Rolla, MO 65401
Phone (573) 458-6379
1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379
608 Old Route 66
Fl 2
Saint Robert, MO 65584
Phone (417) 820-3960
Organizations & group practices 9
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.
-
- Multi-Specialty Clinic/Center
- Jonesboro, AR
- NPI 1861721839
-
- Family Medicine Physician
- Springfield, MO
- NPI 1245277631
-
- Rural Health Clinic/Center
- Willow Springs, MO
- NPI 1972771657
-
- Cardiovascular Disease Physician
- Germantown, TN
- NPI 1700973625
-
- Family Medicine Physician
- Hollister, MO
- NPI 1053350454
-
- Mobile Mammography Clinic/Center
- Jonesboro, AR
- NPI 1417721689
-
- Family Medicine Physician
- Joplin, MO
- NPI 1215264817
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
-
- Clinical Medical Laboratory
- Jonesboro, AR
- NPI 1801127030
Hospital & facility affiliations 14
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Aurora, MO
- NPI 1467543090
-
- General Acute Care Hospital
- Lebanon, MO
- NPI 1447284898
-
- General Acute Care Hospital
- Rolla, MO
- NPI 1740413988
-
- General Acute Care Hospital
- Springfield, MO
- NPI 1578504056
-
- Critical Access Hospital
- Mountain View, MO
- NPI 1023053477
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695168000000",
"number": "1104968171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "770 BLACK FOREST LN",
"city": "BRANSON WEST",
"state": "MO",
"postal_code": "657377771",
"telephone_number": "417-894-9194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 BRANSON LANDING BLVD STE 306",
"city": "BRANSON",
"state": "MO",
"postal_code": "656162140",
"telephone_number": "417-335-7559"
}
],
"practiceLocations": [
{
"address_1": "7751 Wolf River Blvd",
"address_purpose": "LOCATION",
"city": "Germantown",
"state": "TN",
"postal_code": "38138",
"country_code": "US",
"telephone_number": "901-297-4000",
"fax_number": "901-531-8344",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2115 S Fremont Ave",
"address_2": "Suite 4300",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "MO",
"postal_code": "65804",
"country_code": "US",
"telephone_number": "417-820-3911",
"fax_number": "417-820-3924",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2115 S Fremont Ave",
"address_2": "Suite 4300",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "MO",
"postal_code": "658042239",
"country_code": "US",
"telephone_number": "417-820-3911",
"fax_number": "417-820-3924",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KROB",
"first_name": "TRACIE",
"middle_name": "L.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-13",
"last_updated": "2023-09-20",
"certification_date": "2023-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AR",
"license": "A004382",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "24908",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "20050063342",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Branson, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.