Traci Kyle Hill, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0000016578 Issued in TN

Practice address

541 W Park PL
Henderson, TN 38340-2027

Phone

(731) 989-1007

Fax

(731) 989-0704

NPI assigned

Sep 1, 2011

Last updated

Dec 29, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

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

Specialty

Nurse Practitioner

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

WTPC, LLCGroup PAC ID 2668886409, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Jackson-Madison County General Hospital Hospital, Jackson, TN, CCN 440002

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• WTPC, LLC

  • Rural Health Clinic/Center
  • Henderson, TN
  • NPI 1386235083

  5% Or Greater Direct Ownership Interest

  CMS ownership

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.

• WTPC, LLC

  • Rural Health Clinic/Center
  • Henderson, TN
  • NPI 1386235083
  Medicare reassignment Care Compare group NPD
• The Grove Primary Care Clinic LLC

  • Rural Health Clinic/Center
  • Scotts Hill, TN
  • NPI 1285014241
  NPD (past)
• The Grove Primary Care Clinic LLC

  • Rural Health Clinic/Center
  • Henderson, TN
  • NPI 1639345952
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Jackson Madison County General Hospital

  • General Acute Care Hospital
  • Jackson, TN
  • NPI 1093705428
  Care Compare affiliation

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

{
    "created_epoch": "1314835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1235410481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 W PARK PL",
            "city": "HENDERSON",
            "state": "TN",
            "postal_code": "383402027",
            "telephone_number": "731-989-1007",
            "fax_number": "731-989-0704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 W PARK PL",
            "city": "HENDERSON",
            "state": "TN",
            "postal_code": "383402027",
            "telephone_number": "731-989-1007",
            "fax_number": "731-989-0704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "TRACI",
        "middle_name": "KYLE",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-01",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "0000016578",
            "primary": true
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "TN",
            "license": "111099",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1528437",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Henderson Family Eye Care, PLLC
• Henderson Health and Rehabilitation Center, LLC
• Henderson Operating Group LLC
• Henderson Residential, LLC (Southern Oaks Assisted Living)
• HFP Clinical Services LLC (HFP Clinical Services)
• Ashley Himmelsbaugh, DC
• William Thomas Hinson, OTR/L
• Mindy Raines Hopper, LCSW
• Kennan Jaron Huddleston
• Jamie P Hurst, BS

• Family Nurse Practitioner in Henderson, TN
• Providers in Henderson, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.

Verify at the official NPI Registry.