Tracy Kay Fiser, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A004288 Issued in AR

Practice address

2213 Breckenridge Ter
Greenwood, AR 72936-6403

Phone

(479) 252-1031

NPI assigned

Jan 31, 2015

Last updated

Jun 21, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Tracy Kay Johnson Former name

Medicare fee-for-service enrollment

Enrolled in AR, ND2 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

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

PSJ Acquisition LLCGroup PAC ID 7012062235, 26 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• PSJ Acquisition LLC

  dba Prairie St John's

  • Psychiatric Hospital
  • Fargo, ND
  • NPI 1679709802
  Medicare reassignment Care Compare group NPD
• Curana Health of Arkansas LLC

  • Nurse Practitioner
  • Bentonville, AR
  • NPI 1659750214

  Family

  Medicare reassignment NPD
• Internal Medicine Associates Inc

  • Internal Medicine Physician
  • Fargo, ND
  • NPI 1144313743
  Medicare reassignment NPD
• Pam Physician Enterprise

  • Physical Medicine & Rehabilitation Physician
  • Fargo, ND
  • NPI 1962856161
  Medicare reassignment NPD
• PSJ Acquisition LLC

  dba Prairie St. John's

  • Psychologist
  • Fargo, ND
  • NPI 1720454267
  NPD
• Danny Silver M.D. PLLC

  dba Meridian Medical

  • Pain Medicine Physician
  • Fort Smith, AR
  • NPI 1043660665
  NPD (past)

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

{
    "created_epoch": "1422662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466467200000",
    "number": "1154711943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2213 BRECKENRIDGE TER",
            "city": "GREENWOOD",
            "state": "AR",
            "postal_code": "729366403",
            "telephone_number": "479-252-1031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2213 BRECKENRIDGE TER",
            "city": "GREENWOOD",
            "state": "AR",
            "postal_code": "729366403",
            "telephone_number": "479-252-1031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISER",
        "first_name": "TRACY",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-31",
        "last_updated": "2016-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A004288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACY",
            "last_name": "JOHNSON",
            "middle_name": "KAY",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Errs Inc
• Paul A Evans, DDS
• Pierce Anthony Evans
• Eye Group LLC
• Hannah Eugenia Fiser, OT
• Fort Smith Case Management
• Forthright Behavioral Health Inc
• Jamie Renee Foster, LPC
• Katelyn Friday
• Ft Smith Hma PBC Management, LLC (Greenwood Family Medicine Clinic)

• Family Nurse Practitioner in Greenwood, AR
• Providers in Greenwood, AR by specialty
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2016; 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.