Individual provider Active NPI

Tracy Ann Schlosser, RN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Rocky Mount, NC
National Provider Identifier
1225209133
Registry record updated May 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5016004 Issued in NC
Practice address
90 Guardian CT
Rocky Mount, NC 27804-3017
Phone
(252) 212-3350
Fax
(252) 212-3497
NPI assigned
Mar 19, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 166926 NC
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5016004 NC Primary

Addresses

Primary practice location

90 Guardian CT
Rocky Mount, NC 27804-3017

Mailing address

PO Box 2723
Rocky Mount, NC 27802-2723
Phone (252) 210-3350

Other practice location 1

205 Balfour Dr
Archdale, NC 27263-3117
Phone (336) 431-0700

Other identifiers 1

IdentifierTypeStateIssuer
1225209133MedicaidNC

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address tschlosser@oicone.org Direct
Direct Messaging Address tschlosser@oicone.org Health Information Exchange (HIE)
Direct Messaging Address tschlosser@oicone.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20220708001355 NC Practitioner - Nurse Practitioner 4486034402 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Duke University Health System, IncGroup PAC ID 2567372345, 1,083 clinicians

Practice addresses (Care Compare)

3643 N Roxboro St
Durham, NC 27704-2702
Phone (919) 470-5356

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
166926NCMDPsychiatric/Mental Health Registered Nurse
5016004NCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Duke University Health System, Inc. CurrentSince Jan 29, 2024 Accepting new patients
Duke University Health System, Inc. CurrentSince Jan 29, 2024 Accepting new patients
Opportunities Industrialization Center, Inc PastSince Apr 1, 2022 Accepting new patients

Locations

3643 N Roxboro St
Durham, NC 27704
Phone (919) 470-6186

Interoperability endpoints

  • Direct secure messaging: tschlosser568766@direct.medicine.duke.edu

Organizations & group practices 3

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": "1205884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652140800000",
    "number": "1225209133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2723",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278022723",
            "telephone_number": "252-210-3350",
            "fax_number": "252-212-0322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 GUARDIAN CT",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278043017",
            "telephone_number": "252-212-3350",
            "fax_number": "252-212-3497"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 Balfour Dr",
            "address_purpose": "LOCATION",
            "city": "Archdale",
            "state": "NC",
            "postal_code": "272633117",
            "country_code": "US",
            "telephone_number": "336-431-0700",
            "fax_number": "336-431-0762",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHLOSSER",
        "first_name": "TRACY",
        "middle_name": "ANN",
        "credential": "RN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-19",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NC",
            "license": "166926",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5016004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1225209133",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tschlosser@oicone.org",
            "affiliation": "N",
            "endpointDescription": "e-mal",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "402 E Virginia St",
            "city": "Rocky Mount",
            "state": "NC",
            "country_code": "US",
            "postal_code": "278013454",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tschlosser@oicone.org",
            "affiliation": "N",
            "endpointDescription": "e-mail",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "402 E Virginia St",
            "city": "Rocky Mount",
            "state": "NC",
            "country_code": "US",
            "postal_code": "278013454",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tschlosser@oicone.org",
            "affiliation": "N",
            "endpointDescription": "e-mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "402 E Virginia St",
            "city": "Rocky Mount",
            "state": "NC",
            "country_code": "US",
            "postal_code": "278013454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rocky Mount, NC

Sources for this page

Verify at the official NPI Registry.