Individual provider Active NPI

Tracy Fey Terrell, APRN

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1174754485
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3006100 Issued in KY
Practice address
9850 Von Allmen CT Ste 201
Louisville, KY 40241-2855
Phone
(866) 849-0692
NPI assigned
Aug 4, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X GAA-NP005337 GA
Family Nurse Practitioner 363LF0000X 3-003064 AL
Family Nurse Practitioner 363LF0000X 0038148 OH
Family Nurse Practitioner 363LF0000X 31410 SC
Family Nurse Practitioner 363LF0000X 3006100 KY Primary
Family Nurse Practitioner 363LF0000X 5023743 NC
Family Nurse Practitioner 363LF0000X C-APN.0106730-C-NP CO
Family Nurse Practitioner 363LF0000X 10062291 OR
Family Nurse Practitioner 363LF0000X SP035565 PA

Addresses

Primary practice location

9850 Von Allmen CT Ste 201
Louisville, KY 40241-2855

Mailing address

PO Box 21890
Belfast, ME 04915-4115
Phone (502) 907-0356

Other practice location 1

1107 Crown Pointe Dr Ste 107
Elizabethtown, KY 42701-7280
Phone (270) 506-3300

Other practice location 2

1930 Bishop Ln
Suite 1600
Louisville, KY 40218
Phone (502) 272-5087

Other practice location 3

935 Chambers Blvd
Bardstown, KY 40004-2575
Phone (270) 506-3300

Other identifiers 10

IdentifierTypeStateIssuer
000001274704OtherANTHEM PROVIDER ID NUMBER
7100078870MedicaidKY
1865831OtherKYWELLCARE OF KENTUCKY PROVIDER ID
304651KYIPOtherKYAETNA BETTER HEALTH OF KENTUCKY PROVIDER ID NUMBER
3060245OtherUNITED HEALTHCARE PROVIDER ID
P02312324OtherKYRAILROAD MEDICARE
CS1918600189OtherCARESOURCE PROVIDER ID NUMBER
10576522OtherPRIME HEALTH SERVICES PROVIDER ID NUMBER
201018200MedicaidIN
8379074OtherCIGNA PROVIDER ID NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tracy.terrell.1@16521.direct.athenahealth.com Commonwealth Pain Associates, PLLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20090912000083 KY Practitioner - Nurse Practitioner 5991851198 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3-003064ALMDFamily Nurse Practitioner
C-APN.0106730-C-NPCOMDFamily Nurse Practitioner
5023743NCMDFamily Nurse Practitioner
0038148OHMDFamily Nurse Practitioner
SP035565PAMDFamily Nurse Practitioner
31410SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Louisville Physicians, Inc. Current Accepting new patients
Devoted Medical Group Professional Corporation CurrentSince Dec 18, 2025 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Aug 4, 2014 Accepting new patients
Community Medical Associates, Inc. Family CurrentSince Oct 1, 2016 Accepting new patients
Commonwealth Pain Associates PLLC CurrentSince Jul 8, 2019 Accepting new patients
Community Medical Associates, Inc. Family Current Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Aug 4, 2014 Accepting new patients
Community Medical Associates, Inc. CurrentSince Oct 1, 2016 Accepting new patients
Commonwealth Pain Associates, PLLC Family CurrentSince Jul 8, 2019 Accepting new patients
Louisville Geriatric Associates Family Past Accepting new patients
Southern Emergency Medical Specialists, P.S.C. Family Past Accepting new patients
Louisville Geriatric Associates Family Past Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

935 Chambers Blvd
Bardstown, KY 40004
Phone (270) 506-3300

150 N Eagle Creek Dr
Lexington, KY 40509
Phone (859) 267-9773

530 S Jackson St
Louisville, KY 40202
Phone (502) 562-3000

1930 Bishop Ln
Ste 1600
Louisville, KY 40218
Phone (502) 272-5034

9850 Von Allmen Ct
Ste 201
Louisville, KY 40241
Phone (480) 269-9248

1 Audubon Plaza Dr
Louisville, KY 40217
Phone (502) 634-6767

223 Executive Park
Louisville, KY 40207

401 E Chestnut St
Unit 510
Louisville, KY 40202
Phone (502) 588-4800

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

120 Executive Park
St Matthews, KY 40207
Phone (502) 409-9925

Interoperability endpoints

  • Direct secure messaging: tracy.terrell@306803888029700.direct.elationemr.com
  • FHIR API: https://api.platform.athenahealth.com/8360/brand/1/csg/1/fhir/r4

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1249344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1174754485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21890",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154115",
            "telephone_number": "502-907-0356",
            "fax_number": "502-919-9780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9850 VON ALLMEN CT STE 201",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402412855",
            "telephone_number": "866-849-0692"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1107 Crown Pointe Dr Ste 107",
            "address_purpose": "LOCATION",
            "city": "Elizabethtown",
            "state": "KY",
            "postal_code": "427017280",
            "country_code": "US",
            "telephone_number": "270-506-3300",
            "fax_number": "270-506-2843",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1930 Bishop Ln",
            "address_2": "Suite 1600",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "40218",
            "country_code": "US",
            "telephone_number": "502-272-5087",
            "fax_number": "502-272-5121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "935 Chambers Blvd",
            "address_purpose": "LOCATION",
            "city": "Bardstown",
            "state": "KY",
            "postal_code": "400042575",
            "country_code": "US",
            "telephone_number": "270-506-3300",
            "fax_number": "270-506-2843",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TERRELL",
        "first_name": "TRACY",
        "middle_name": "FEY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-04",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "GAA-NP005337",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "3-003064",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0038148",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "31410",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3006100",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5023743",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "C-APN.0106730-C-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "10062291",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP035565",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER ID NUMBER",
            "identifier": "000001274704",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100078870",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE OF KENTUCKY PROVIDER ID",
            "identifier": "1865831",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA BETTER HEALTH OF KENTUCKY PROVIDER ID NUMBER",
            "identifier": "304651KYIP",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE PROVIDER ID",
            "identifier": "3060245",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P02312324",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE PROVIDER ID NUMBER",
            "identifier": "CS1918600189",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIME HEALTH SERVICES PROVIDER ID NUMBER",
            "identifier": "10576522",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201018200",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PROVIDER ID NUMBER",
            "identifier": "8379074",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tracy.terrell.1@16521.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "Commonwealth Pain Associates, PLLC",
            "address_1": "1107 Crown Pointe Dr Ste 107",
            "city": "Elizabethtown",
            "state": "KY",
            "country_code": "US",
            "postal_code": "427017280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.