Individual provider Active NPI

Traci Rochelle Hamilton, AUD

  • Audiologist
  • Greensburg, PA
National Provider Identifier
1275780058
Registry record updated Oct 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AT006084 Issued in PA
Practice address
433 Frye Farm Rd Ste 5
Central Medical Arts BLDG.
Greensburg, PA 15601-7920
Phone
(724) 539-3750
Fax
(724) 539-3751
NPI assigned
Aug 22, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AT006084 PA Primary

Addresses

Primary practice location

433 Frye Farm Rd Ste 5
Central Medical Arts BLDG.
Greensburg, PA 15601-7920

Mailing address

433 Frye Farm Rd Ste 5
Central Medical Arts BLDG.
Greensburg, PA 15601-7920
Phone (724) 539-3750

Other names 1

  • Traci Mick Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091029000417 WV Practitioner - Qualified Audiologist 6406993112 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Medical Ctr Dr
Morgantown, WV 26506-1200
Phone (304) 293-4500

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AT006084PAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
West Virginia University Medical Corporation CurrentSince Sep 1, 2013 Accepting new patients
West Virginia University Medical Corporation CurrentSince Sep 1, 2013 Accepting new patients

Locations

1377 Locust Ave
Fairmont, WV 26554
Phone (304) 363-3500

1188 Pineview Dr
Morgantown, WV 26505
Phone (304) 599-3959

255 Scott Ave
Morgantown, WV 26508
Phone 304285710145210

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

Interoperability endpoints

  • Direct secure messaging: thamilton27494@direct.wvuhsdirect.com

Organizations & group practices 2

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": "1219363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382400000000",
    "number": "1275780058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 FRYE FARM RD STE 5",
            "address_2": "CENTRAL MEDICAL ARTS BLDG.",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156017920",
            "telephone_number": "724-539-3750",
            "fax_number": "724-539-3751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 FRYE FARM RD STE 5",
            "address_2": "CENTRAL MEDICAL ARTS BLDG.",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156017920",
            "telephone_number": "724-539-3750",
            "fax_number": "724-539-3751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "TRACI",
        "middle_name": "ROCHELLE",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-22",
        "last_updated": "2013-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "PA",
            "license": "AT006084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACI",
            "last_name": "MICK",
            "credential": "AUD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greensburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.