Individual provider Active NPI

Tracy Myers

  • Acute Care Nurse Practitioner
  • Buffalo, NY
National Provider Identifier
1154876555
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
431062 Issued in NY
Practice address
Elm and Carlton St
Buffalo, NY 14263-0001
Phone
(716) 845-2300
NPI assigned
Aug 16, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 431062 NY
Acute Care Nurse Practitioner 363LA2100X 11906 CT
Acute Care Nurse Practitioner 363LA2100X 431062 NY Primary

Addresses

Primary practice location

Elm and Carlton St
Buffalo, NY 14263-0001

Mailing address

622 W 168TH St
New York, NY 10032-3720

Other practice location 1

622 W 168th St
New York, NY 10032
Phone (212) 305-9876

Other practice location 2

80 Seymour St Bldg 502
Hartford, CT 06102-8000
Phone (860) 972-0549

Other identifiers 1

IdentifierTypeStateIssuer
04888560MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, AZ, CT3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20170202001764 NY Practitioner - Nurse Practitioner 2365725058 Reassigns benefits to 8 organizations
I20220531002002 AZ Practitioner - Nurse Practitioner 2365725058 Reassigns benefits to 1 organization
I20230911003699 CT Practitioner - Nurse Practitioner 2365725058 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Duke University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest HBP Medical Services LLCGroup PAC ID 8921356536, 278 clinicians
Roswell Park Cancer InstituteGroup PAC ID 3577475110, 487 clinicians

Practice addresses (Care Compare)

6200 N la Cholla Blvd
Tucson, AZ 85741-3529
Phone (520) 229-2657

Elm and Carlton St
Buffalo, NY 14263-0001
Phone (716) 845-2300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.4 of 100Reported as group
Quality
72.79
Improvement activities
40
Cost
71.22

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11906CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest HBP Medical Services LLC Nurse Practitioner CurrentSince Jul 24, 2023 Accepting new patients
Hartford Healthcare Medical Group Specialists, PLLC Nurse Practitioner CurrentSince Sep 15, 2023 Accepting new patients
Cogent Medical Care PC Nurse Practitioner CurrentSince Mar 27, 2024 Accepting new patients
App of Southern Arizona HM LLC CurrentSince May 6, 2022 Accepting new patients
Roswell Park Cancer Institute CurrentSince Mar 4, 2019 Accepting new patients
Nuvance Health Medical Practice PC Nurse Practitioner CurrentSince Oct 24, 2022 Accepting new patients
Buffalo Internist & Associates LLC CurrentSince Dec 16, 2018 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Sep 15, 2023 Accepting new patients
CHS Neuroscience Group Nurse Practitioner CurrentSince Jan 5, 2017 Accepting new patients
Trustees of Columbia University in the City of New York Nurse Practitioner CurrentSince Mar 1, 2018 Accepting new patients
Roswell Park Cancer Institute CurrentSince Mar 4, 2019 Accepting new patients
Olean General Hospital CurrentSince Aug 14, 2023 Accepting new patients
Apogee Medical Group, New York, PC CurrentSince Dec 15, 2019 Accepting new patients
Olean General Hospital CurrentSince Aug 14, 2023 Accepting new patients
Mercy Hospital of Buffalo CurrentSince Jan 5, 2017 Accepting new patients
Olean General Hospital Past Accepting new patients

Locations

1551 E Tangerine Rd
Oro Valley, AZ 85755
Phone (520) 901-3500

6200 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 229-2657

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

169 Riverside Dr
Binghamton, NY 13905
Phone (607) 798-5111

Dept 8000
Buffalo, NY 14267

100 High St
Buffalo, NY 14203
Phone (716) 632-3700

565 Abbott Rd
Rm 8632
Buffalo, NY 14220
Phone (607) 798-5671

565 Abbott Rd
Buffalo, NY 14220
Phone (716) 826-7000

Elm and Carlton St
Buffalo, NY 14263

144 Genesee St
Fl 3
Buffalo, NY 14203
Phone (716) 601-3690

462 Grider St
Cheektowaga, NY 14215
Phone (716) 831-8612

622 W 168th St
Ph 3303
New York, NY 10032
Phone (212) 305-2654

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

908 Niagara Falls Blvd
Ste 208
North Tonawanda, NY 14120
Phone (716) 649-1613

515 Main St
Olean, NY 14760
Phone (716) 373-2600

101 Hospital Rd
Patchogue, NY 11772
Phone (631) 654-7100

45 Reade Pl
Fl 2
Poughkeepsie, NY 12601
Phone (845) 483-6001

45 Reade Pl
Poughkeepsie, NY 12601
Phone (845) 331-3131

5121 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 436-6556

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 3

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": "1471305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1154876555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 W 168TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ELM AND CARLTON ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142630001",
            "telephone_number": "716-845-2300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "622 W 168th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "10032",
            "country_code": "US",
            "telephone_number": "212-305-9876",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "80 Seymour St Bldg 502",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "CT",
            "postal_code": "061028000",
            "country_code": "US",
            "telephone_number": "860-972-0549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MYERS",
        "first_name": "TRACY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-16",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "431062",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CT",
            "license": "11906",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NY",
            "license": "431062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04888560",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.