Individual provider Active NPI

Tracy Ratliff, NP

  • Nurse Practitioner
  • De Kalb, TX
National Provider Identifier
1144931916
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F07220920 Issued in TX
Practice address
216 N Centre St
De Kalb, TX 75559-1406
Phone
(903) 667-2273
Fax
(903) 667-7597
NPI assigned
Dec 12, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F07220920 TX Primary

Addresses

Primary practice location

216 N Centre St
De Kalb, TX 75559-1406

Mailing address

1920 Moores LN
Texarkana, TX 75503-4664
Phone (903) 792-8030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20230330000036 TX Practitioner - Nurse Practitioner 4183098338 Reassigns benefits to 2 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
Texarkana Gastroenterology Consultants, PAGroup PAC ID 0345212817, 18 clinicians
Dekalb Physicians Clinic LLCGroup PAC ID 0244264216, 3 clinicians

Practice addresses (Care Compare)

1920 Moores LN
Suite a
Texarkana, TX 75503-4660
Phone 90379280302080

216 N Centre St
Dekalb Phyisians Clinic
Dekalb, TX 75559-1406
Phone (903) 667-2273

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.74 of 100Reported as group
Quality
77.47
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F07220920TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texarkana Gastroenterology Consultants, PA CurrentSince Jan 6, 2023 Accepting new patients
Dekalb Physicians Clinic LLC CurrentSince Sep 1, 2025 Accepting new patients

Locations

216 N Centre St
De Kalb, TX 75559
Phone (903) 667-2273

1920 Moores Ln
Ste A
Texarkana, TX 75503
Phone (903) 792-8030

1920 Moores Ln
Texarkana, TX 75503
Phone (903) 791-8657

Interoperability endpoints

  • FHIR API: https://ab0ad0d3-1a1d-47a7-80b0-c0bd276b844e.gastro.prod.fhir.ema-api.com/fhir/r4/

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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": "1670803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1144931916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 MOORES LN",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755034664",
            "telephone_number": "903-792-8030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 N CENTRE ST",
            "city": "DE KALB",
            "state": "TX",
            "postal_code": "755591406",
            "telephone_number": "903-667-2273",
            "fax_number": "903-667-7597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATLIFF",
        "first_name": "TRACY",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-12",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "F07220920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in De Kalb, TX

Sources for this page

Verify at the official NPI Registry.