Active NPI
Tracy L Fry, APRN, FNP-C
- Family Nurse Practitioner
- Grove, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R0128239
- Practice address
- 1121 Neo Loop
Grove, OK 74344-6046 - Phone
- (877) 783-4441
- NPI assigned
- Sep 7, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | A005462 | AR | |
| Family Nurse Practitioner | 363LF0000X | 5377388091 | KS | |
| Family Nurse Practitioner | 363LF0000X | 2017044184 | MO | |
| Family Nurse Practitioner | 363LF0000X | R0128239 | OK | Primary |
Addresses
Primary practice location
1121 Neo Loop
Grove, OK 74344-6046
Mailing address
61980 E 225 Rd
Wyandotte, OK 74370-2917
Phone (913) 660-8742
Other practice location 1
3333 McIntosh Cir Ste 4
Joplin, MO 64804
Phone (417) 347-8200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, OK, AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1121 Neo Loop
Mercy Clinic Orthopedics Grove
Grove, OK 74344-6046
Phone (877) 783-4441
202 E 50TH St
MC Family Medicine 50TH Street
Joplin, MO 64804-4527
Phone (417) 556-3400
Hospital & facility affiliations
- Integris Grove Hospital
- Mercy Hospital Joplin
- Saint Francis Hospital Vinita, Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A005462 | AR | MD | Family Nurse Practitioner |
| 5377388091 | KS | MD | Family Nurse Practitioner |
| 2017044184 | MO | MD | Family Nurse Practitioner |
| R0128239 | OK | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Francis House Nwa, Inc | Current | Accepting new patients | |
| St Francis House Nwa, Inc | Current | Accepting new patients | |
| Mercy Clinic Joplin LLC | Current | Accepting new patients | |
| St Francis House Nwa, Inc | Current | Accepting new patients | |
| Integris Grove Hospital | Past | Accepting new patients |
Locations
451 S Holly St
Siloam Springs, AR 72761
Phone (479) 524-3141
614 E Emma Ave
Ste 300
Springdale, AR 72764
Phone (479) 751-4898
11155 Tucker Rd
Pleasanton, KS 66075
Phone (913) 347-8110
202 E 50th St
Joplin, MO 64804
Phone (417) 556-3400
100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300
1121 Neo Loop
Grove, OK 74344
Phone (877) 783-4441
10 S Treaty Rd
Miami, OK 74354
Phone (918) 238-2410
Interoperability endpoints
- tfry237440@direct.integrisok.com
Organizations & group practices 5
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.
-
- Federally Qualified Health Center (FQHC)
- Kansas, OK
- NPI 1336902311
-
- Federally Qualified Health Center (FQHC)
- West Fork, AR
- NPI 1336986785
-
- Federally Qualified Health Center (FQHC)
- Gentry, AR
- NPI 1033971114
-
- General Acute Care Hospital
- Grove, OK
- NPI 1467473579
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Grove, OK
- NPI 1467473579
-
- Medicare Defined Swing Bed Hospital Unit
- Vinita, OK
- NPI 1467902460
-
- Psychiatric Hospital Unit
- Vinita, OK
- NPI 1578013579
-
- General Acute Care Hospital
- Vinita, OK
- NPI 1700334232
-
- General Acute Care Hospital
- Joplin, MO
- NPI 1700112745
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754956800000",
"number": "1174070205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61980 E 225 RD",
"city": "WYANDOTTE",
"state": "OK",
"postal_code": "743702917",
"telephone_number": "913-660-8742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1121 NEO LOOP",
"city": "GROVE",
"state": "OK",
"postal_code": "743446046",
"telephone_number": "877-783-4441"
}
],
"practiceLocations": [
{
"address_1": "3333 McIntosh Cir Ste 4",
"address_purpose": "LOCATION",
"city": "Joplin",
"state": "MO",
"postal_code": "64804",
"country_code": "US",
"telephone_number": "417-347-8200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FRY",
"first_name": "TRACY",
"middle_name": "L",
"credential": "APRN, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-07",
"last_updated": "2025-08-12",
"certification_date": "2025-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AR",
"license": "A005462",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KS",
"license": "5377388091",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2017044184",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OK",
"license": "R0128239",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grove, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; 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.