Individual provider Active NPI

Tracie Lynn Reamer, CNP

  • Nurse Practitioner
  • Waconia, MN
National Provider Identifier
1114620689
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
9941 Issued in MN
Practice address
560 S Maple St Ste 200
Waconia, MN 55387-1757
Phone
(952) 442-2163
NPI assigned
Mar 23, 2023
Last updated
Apr 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 9941 MN Primary
Nurse Practitioner 363L00000X 5022717 NC

Addresses

Primary practice location

560 S Maple St Ste 200
Waconia, MN 55387-1757

Mailing address

4200 Dahlberg Dr Ste 300
Golden Valley, MN 55422-4841
Phone (952) 512-5600

Other practice location 1

1122 Randolph St Ste 110
Thomasville, NC 27360-5730
Phone (336) 481-0739

Other practice location 2

4515 Premier Dr Ste 201
High Point, NC 27265-8356
Phone (336) 802-2610

Other practice location 3

5826 Samet Dr Ste 101
High Point, NC 27265-3661
Phone (336) 905-6435

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230508001423 MN Practitioner - Nurse Practitioner 3072978402 Reassigns benefits to 2 organizations
I20251030003481 NC Practitioner - Nurse Practitioner 3072978402 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5826 Samet Dr
Suite 101
High Point, NC 27265-3661
Phone (336) 878-6540

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.79 of 100Reported as group
Quality
95.08
Improvement activities
40
Cost
81.67

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9941MNMDOrthodontics and Dentofacial Orthopedic Dentist
5022717NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Forest University Health Sciences CurrentSince Sep 22, 2025 Accepting new patients
Infinite Health Collaborative, PA CurrentSince May 1, 2023 Accepting new patients
Carolina Medicorp Enterprises, LLC CurrentSince Dec 5, 2025 Accepting new patients
Ridgeview Medical Center Current Accepting new patients
Infinite Health Collaborative, PA CurrentSince May 1, 2023 Accepting new patients
Ridgeview Medical Center CurrentSince Dec 24, 2024 Accepting new patients
Ridgeview Medical Center CurrentSince Dec 24, 2024 Accepting new patients
Carolina Medicorp Enterprises, LLC CurrentSince Dec 5, 2025 Accepting new patients
Carolina Medicorp Enterprises Inc Nurse Practitioner Past Accepting new patients
Infinite Health Collaborative, PA Past Accepting new patients

Locations

7907 Powers Blvd
Chanhassen, MN 55317
Phone (952) 934-0570

4200 Dahlberg Dr
Ste 300
Minneapolis, MN 55422
Phone (952) 512-5600

920 E 28th St
Ste 440
Minneapolis, MN 55407
Phone (612) 863-5155

500 S Maple St
Waconia, MN 55387
Phone (612) 442-2191

560 S Maple St
Ste 200
Waconia, MN 55387
Phone (952) 856-4033

15235 John J Delaney Dr
Ste B
Charlotte, NC 28277
Phone (704) 243-8937

8036 Providence Rd
Ste 100
Charlotte, NC 28277
Phone (980) 301-8711

9550 Rocky River Rd
Ste 150
Charlotte, NC 28215
Phone (704) 457-1510

2311 Lewisville Clemmons Rd
Clemmons, NC 27012
Phone (336) 713-0400

5826 Samet Dr
Ste 101
High Point, NC 27265
Phone (336) 878-6540

1900 W Park Dr
Ste B
North Wilkesboro, NC 28659
Phone (336) 903-6840

1122 Randolph St
Ste 110
Thomasville, NC 27360
Phone (336) 474-3433

600 Highland Oaks Dr
Winston Salem, NC 27103
Phone (366) 774-0040

Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697

Interoperability endpoints

  • Direct secure messaging: treamer3024750@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 12

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 5

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": "1679529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1114620689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 DAHLBERG DR STE 300",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554224841",
            "telephone_number": "952-512-5600",
            "fax_number": "952-512-5651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 S MAPLE ST STE 200",
            "city": "WACONIA",
            "state": "MN",
            "postal_code": "553871757",
            "telephone_number": "952-442-2163"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1122 Randolph St Ste 110",
            "address_purpose": "LOCATION",
            "city": "Thomasville",
            "state": "NC",
            "postal_code": "273605730",
            "country_code": "US",
            "telephone_number": "336-481-0739",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4515 Premier Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "High Point",
            "state": "NC",
            "postal_code": "272658356",
            "country_code": "US",
            "telephone_number": "336-802-2610",
            "fax_number": "336-802-2611",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5826 Samet Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "High Point",
            "state": "NC",
            "postal_code": "272653661",
            "country_code": "US",
            "telephone_number": "336-905-6435",
            "fax_number": "336-905-6408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REAMER",
        "first_name": "TRACIE",
        "middle_name": "LYNN",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-23",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "9941",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5022717",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waconia, MN

Sources for this page

Verify at the official NPI Registry.