Individual provider Active NPI

Tracy Lynn Brubaker, NP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Findlay, OH
National Provider Identifier
1174863559
Registry record updated Feb 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
14308 Issued in OH
Practice address
300 W Wallace St Ste B4
Findlay, OH 45840-1244
Phone
(419) 429-6480
NPI assigned
Feb 22, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 14308 OH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 14308 OH Primary

Addresses

Primary practice location

300 W Wallace St Ste B4
Findlay, OH 45840-1244

Mailing address

300 W Wallace St Ste B4
Findlay, OH 45840-1244
Phone (419) 429-6480

Other practice location 1

1800 N Blanchard St
Suit 121
Findlay, OH 45840-4503
Phone (419) 427-0809

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20130611000553 OH Practitioner - Nurse Practitioner 1456590058 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
My Mobile MD Ohio Psychiatric Services LLCGroup PAC ID 7012400989, 2 clinicians

Practice addresses (Care Compare)

6129 Nasby Dr
Galloway, OH 43119-8291
Phone (317) 559-0950

Merit-based Incentive Payment System (MIPS)

Final score
71.66 of 100Reported as group
Quality
52.4
Promoting interoperability
84
Improvement activities
40
Cost
66.45

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Master of Science

State licenses

LicenseStateTypeSpecialty
14308OHMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Blanchard Valley Regional Health Center CurrentSince Apr 23, 2013 Accepting new patients
Blanchard Valley Regional Health Center CurrentSince Apr 23, 2013 Accepting new patients
Blanchard Valley Regional Health Center Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

3949 N Main St
Ste B
Findlay, OH 45840
Phone (419) 423-3888

100 W Pearl St
Findlay, OH 45840
Phone (419) 423-3703

1900 S Main St
Findlay, OH 45840
Phone (419) 423-4500

1800 N Blanchard St
Ste 121
Findlay, OH 45840
Phone (419) 427-0809

300 W Wallace St
Ste B4
Findlay, OH 45840
Phone (419) 422-6717

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.

NPI Registry JSON

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

{
    "created_epoch": "1361491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550793600000",
    "number": "1174863559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W WALLACE ST STE B4",
            "city": "FINDLAY",
            "state": "OH",
            "postal_code": "458401244",
            "telephone_number": "419-429-6480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W WALLACE ST STE B4",
            "city": "FINDLAY",
            "state": "OH",
            "postal_code": "458401244",
            "telephone_number": "419-429-6480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 N Blanchard St",
            "address_2": "Suit 121",
            "address_purpose": "LOCATION",
            "city": "Findlay",
            "state": "OH",
            "postal_code": "458404503",
            "country_code": "US",
            "telephone_number": "419-427-0809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUBAKER",
        "first_name": "TRACY",
        "middle_name": "LYNN",
        "credential": "NP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-22",
        "last_updated": "2019-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "14308",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "14308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Findlay, OH

Sources for this page

Verify at the official NPI Registry.