Allison Theresa Tracy, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

CP002916 Issued in SD

Practice address

1512 4TH St NE
Watertown, SD 57201-6824

Phone

(605) 884-0100

NPI assigned

Aug 1, 2023

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 SD

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, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lakeside Pain Center Prof LLCGroup PAC ID 8820472814, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Prairie Lakes Healthcare System, Inc Hospital, Watertown, SD, CCN 430005
• Coteau Des Prairies Health Care System Hospital, Sisseton, SD, CCN 431339

Merit-based Incentive Payment System (MIPS)

Final score

92.88 of 100Reported as group

Quality

98.47

Improvement activities

40

Cost

76.17

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/ADEAAA/Endpoint/ADEAAA

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.

• Lakeside Pain Center Prof. LLC

  • Pain Clinic/Center
  • Watertown, SD
  • NPI 1295478907
  Medicare reassignment Care Compare group NPD
• Innovative Procedural Center LLC

  • Ambulatory Surgical Clinic/Center
  • Watertown, SD
  • NPI 1184660151
  Medicare reassignment NPD

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

• Coteau Des Prairies Hospital

  • Critical Access Hospital
  • Sisseton, SD
  • NPI 1417051517
  Care Compare affiliation

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

{
    "created_epoch": "1690848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1114609104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18025 468TH AVE",
            "city": "CLEAR LAKE",
            "state": "SD",
            "postal_code": "572265320",
            "telephone_number": "605-520-0302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 4TH ST NE",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572016824",
            "telephone_number": "605-884-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRACY",
        "first_name": "ALLISON",
        "middle_name": "THERESA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-01",
        "last_updated": "2023-08-01",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "CP002916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Topp Counseling Services
• Pamala Topp, LPC
• Scott E Torness, D.P.M.
• Total Renal Care, Inc.
• Marcie Townsend
• Jamie L Tracy, PA-C
• Stephanie M Traversie, MS
• Trusted Choice Services
• Michelle Turbak, PTA
• Amanda Ulmer, BA

• Family Nurse Practitioner in Watertown, SD
• Providers in Watertown, SD by specialty
• Family Nurse Practitioner in South Dakota

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

Verify at the official NPI Registry.