Individual provider Active NPI

Tracy D Bates, APRN

  • Nurse Practitioner
  • Osage City, KS
National Provider Identifier
1174063580
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
93880 Issued in OK
Practice address
131 W Market St Ste B
Osage City, KS 66523-1099
Phone
(918) 633-6899
NPI assigned
Mar 3, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 77661 KS
Nurse Practitioner 363L00000X 93880 OK Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20180605003154 OK Practitioner - Nurse Practitioner 8729356738 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
77661KSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Truhealth, LLC Nurse Practitioner CurrentSince Mar 1, 2018 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

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1488499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1174063580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 W. MARKET, SUITE B",
            "city": "OSAGE CITY",
            "state": "KS",
            "postal_code": "665231099",
            "telephone_number": "918-633-6899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 W MARKET ST STE B",
            "city": "OSAGE CITY",
            "state": "KS",
            "postal_code": "665231099",
            "telephone_number": "918-633-6899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATES",
        "first_name": "TRACY",
        "middle_name": "D",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-03",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "77661",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "93880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Osage City, KS

Sources for this page

Verify at the official NPI Registry.