Tracy D Bates, APRN
Individual provider Active NPI Nurse Practitioner · Osage City, KS
NPI 1174063580 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1174063580
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 93880 (OK)
- Practice address
- 131 W Market St Ste B
Osage City, KS 66523-1099 - Phone
- (918) 633-6899
- NPI assigned
- Mar 3, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180605003154 | OK | Practitioner - Nurse Practitioner | 8729356738 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 93880 | OK | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Truhealth, LLC | Nurse Practitioner | Current |
Accepting new patients |
Locations
13500 Brandon Pl
Oklahoma City, OK 73142
Phone (405) 321-3499
1415 W 15th St
Sulphur, OK 73086
Phone (580) 622-2030
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 77661 | KS | |
| Nurse Practitioner | 363L00000X | 93880 | OK | Yes |
Addresses
Primary practice location
131 W Market St Ste B
Osage City, KS 66523-1099
Mailing address
131 W. Market, Suite B
Osage City, KS 66523-1099
Phone (918) 633-6899
Other providers in Osage City, KS
- Ability Resources Inc
- Dwight Adams
- Auburn Pharmacy Osage, LLC.
- Auburn Pharmacy, Inc.
- Alex Landon Boss
- Jenny Ann Bowin
- Lindsey R Buckman
- Sherri L Coffman
- Su Colstrom
All providers in Osage City, KS · Nurse Practitioner in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.