Active NPI
Tracy D Bates, APRN
- Nurse Practitioner
- Osage City, KS
National Provider Identifier
1174063580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 93880
- 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, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 77661 | KS | 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
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.