Monica Tracy, AGPCNP-C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

AP08324 Issued in LA

Practice address

4405 Airline Dr
Bossier City, LA 71111-2058

Phone

(318) 470-2101

NPI assigned

Jun 18, 2015

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

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

CH MSSP Services la LLCGroup PAC ID 6901206416, 44 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Professional HH SVC of Minden Home health agency, Minden, LA, CCN 197026
• Louisiana Homecare Home health agency, Mansfield, LA, CCN 197052
• Elara Caring Home health agency, Bossier City, LA, CCN 197226
• Willis Knighton Medical Center Hospital, Shreveport, LA, CCN 190111

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• CH MSSP Services la LLC

  • Internal Medicine Physician
  • Sulphur, LA
  • NPI 1982285060
  Medicare reassignment Care Compare group
• Curana Health of Louisiana LLC

  • Family Medicine Physician
  • Baton Rouge, LA
  • NPI 1538399704
  Medicare reassignment NPD

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

• Health Care Visions III, Inc.

  • Home Health Agency
  • Bossier City, LA
  • NPI 1053485961
  Care Compare affiliation
• Louisiana Homecare of Northwest Louisiana, LLC

  • Home Health Agency
  • Mansfield, LA
  • NPI 1285681171
  Care Compare affiliation
• Minden Home Health Services, Inc.

  • Home Health Agency
  • Minden, LA
  • NPI 1548267412
  Care Compare affiliation
• Willis Knighton Medical Center, Inc.

  • General Acute Care Hospital
  • Bossier City, LA
  • NPI 1003968579
  Care Compare affiliation
• Willis Knighton Medical Center, Inc.

  • General Acute Care Hospital
  • Shreveport, LA
  • NPI 1124170691
  Care Compare affiliation
• Willis Knighton Medical Center, Inc.

  • General Acute Care Hospital
  • Shreveport, LA
  • NPI 1275685539
  Care Compare affiliation
• Willis Knighton Medical Center, Inc.

  • General Acute Care Hospital
  • Shreveport, LA
  • NPI 1568461572
  Care Compare affiliation

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

{
    "created_epoch": "1434585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434585600000",
    "number": "1134500820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3931 LE BROOKE LN",
            "city": "BENTON",
            "state": "LA",
            "postal_code": "710069726",
            "telephone_number": "318-470-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4405 AIRLINE DR",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711112058",
            "telephone_number": "318-470-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRACY",
        "first_name": "MONICA",
        "name_prefix": "Mrs.",
        "credential": "AGPCNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-18",
        "last_updated": "2015-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "LA",
            "license": "AP08324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOUISIANA STATE BOARD OF NURSING LICENSE #",
            "identifier": "AP08324",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sanjeevi C. Tivakaran, MD
• Hunter Reagan Todd, SLP
• Tom Rodsuwan MD and Willis Knighton Medical Center
• Ana Torres
• Rachel Guedry Touchstone, PA
• Jeffery Trent
• Shon Trent
• Trevor Richard MD Apmc
• Tri-State Physical Therapy #4 Inc
• Sarah Elizabeth Trice

• Adult Health Nurse Practitioner in Bossier City, LA
• Providers in Bossier City, LA by specialty
• Adult Health Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; 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.