Tracy Ellis Burns, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

902868 Issued in MS

Practice address

5699 Getwell Rd BLDG H1
Southaven, MS 38672-7311

Phone

(662) 510-8606

NPI assigned

Aug 18, 2018

Last updated

Apr 23, 2019By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

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, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

In Focus Psychiatry LLCGroup PAC ID 1759673072, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• In Focus Psychiatry LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Hernando, MS
  • NPI 1578913885
  Medicare reassignment Care Compare group NPD
• In Focus Psychiatry LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Oxford, MS
  • NPI 1649746660
  NPD

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

{
    "created_epoch": "1534550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555977600000",
    "number": "1235619206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6880 COBBLESTONE BLVD",
            "address_2": "STE 2",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386729313",
            "telephone_number": "662-638-3757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5699 GETWELL RD BLDG H1",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386727311",
            "telephone_number": "662-510-8606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNS",
        "first_name": "TRACY",
        "middle_name": "ELLIS",
        "name_prefix": "Ms.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-18",
        "last_updated": "2019-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "902868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn Buford, LMSW
• Ashlyn Bulinski, OTR/L
• Courtney Bullard, AGNP-C
• Nathaniel Levi Bump, FNP-C
• Adam Wade Burch, PTA
• Lexann Pate Bursi, RD, LDN
• Shannon Christian Burt, FNP-C
• Tara Elaine Burt, PT, DPT
• Misty Burton, FNP-C
• Kenneth Bradley Bush II, RPH

• Psychiatric/Mental Health Nurse Practitioner in Southaven, MS
• Providers in Southaven, MS by specialty
• Psychiatric/Mental Health Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2019; 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.

Verify at the official NPI Registry.