Individual provider Active NPI

Cheyenne Bailey Tracy, APRN, MSN, FNP-C

  • Family Nurse Practitioner
  • Borger, TX
National Provider Identifier
1235974148
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1167740 Issued in TX
Practice address
101 S McGee St
Borger, TX 79007-4019
Phone
(806) 274-5131
Fax
(806) 273-7777
NPI assigned
Jul 1, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1167740 TX Primary

Addresses

Primary practice location

101 S McGee St
Borger, TX 79007-4019

Mailing address

100 Medical Dr
Borger, TX 79007-7579
Phone (806) 274-5131

Other names 1

  • Cheyenne Bailey Chute Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240912001823 TX Practitioner - Nurse Practitioner 6507306818 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NWTX Physician Network PLLCGroup PAC ID 4688899149, 30 clinicians

Practice addresses (Care Compare)

104 N Bryan St
Borger, TX 79007-4010
Phone (806) 274-3627

Hospital & facility affiliations

  • Golden Plains Community Hospital Hospital, Borger, TX, CCN 451369
  • Northwest Texas Hospital Hospital, Amarillo, TX, CCN 450209
  • Bsa Hospital Hospital, Amarillo, TX, CCN 450231

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1167740TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
NWTX Physician Network, PLLC CurrentSince Oct 14, 2024 Accepting new patients
NWTX Physician Network, PLLC CurrentSince Oct 14, 2024 Accepting new patients
NWTX Physician Network, PLLC PastSince Apr 20, 2021 Accepting new patients

Locations

1501 S Coulter St
Amarillo, TX 79106
Phone (800) 354-1150

104 N Bryan St
Borger, TX 79007
Phone (806) 274-2986

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1719792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1235974148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MEDICAL DR",
            "city": "BORGER",
            "state": "TX",
            "postal_code": "790077579",
            "telephone_number": "806-274-5131",
            "fax_number": "806-273-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S MCGEE ST",
            "city": "BORGER",
            "state": "TX",
            "postal_code": "790074019",
            "telephone_number": "806-274-5131",
            "fax_number": "806-273-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRACY",
        "first_name": "CHEYENNE",
        "middle_name": "BAILEY",
        "name_prefix": "Mrs.",
        "credential": "APRN, MSN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-01",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1167740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHEYENNE",
            "last_name": "CHUTE",
            "middle_name": "BAILEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Borger, TX

Sources for this page

Verify at the official NPI Registry.