Individual provider Active NPI

Tracy Marie Hilgert, RN,BSN,RNFA

  • Registered Nurse First Assistant
  • O'Fallon, MO
National Provider Identifier
1124214184
Registry record updated Oct 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
License
119634 Issued in MO
Practice address
2052 Alexandria Row
O Fallon, MO 63368-8558
Phone
(618) 225-7689
Fax
(618) 466-4668
NPI assigned
Sep 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First Assistant 163WR0006X 119634 MO Primary

Addresses

Primary practice location

2052 Alexandria Row
O Fallon, MO 63368-8558

Mailing address

2052 Alexandria Row
O Fallon, MO 63368-8558
Phone (618) 225-7689

Other practice location 1

2052 Alexandria Row
O Fallon, MO 63368-8558
Phone (618) 225-7689

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
119634MOMDRegistered Nurse First Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Surgical Registered Nurse First Assistant Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1190505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538611200000",
    "number": "1124214184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2052 ALEXANDRIA ROW",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633688558",
            "telephone_number": "618-225-7689",
            "fax_number": "618-466-4668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2052 ALEXANDRIA ROW",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633688558",
            "telephone_number": "618-225-7689",
            "fax_number": "618-466-4668"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2052 Alexandria Row",
            "address_purpose": "LOCATION",
            "city": "O Fallon",
            "state": "MO",
            "postal_code": "633688558",
            "country_code": "US",
            "telephone_number": "618-225-7689",
            "fax_number": "618-466-4668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HILGERT",
        "first_name": "TRACY",
        "middle_name": "MARIE",
        "credential": "RN,BSN,RNFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-23",
        "last_updated": "2018-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "MO",
            "license": "119634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in O'Fallon, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.