Melissa Ann Tracy, CRNP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

SP012291 Issued in PA

Practice address

600 Maple Ave Ste 1
Honesdale, PA 18431-1436

Phone

(570) 253-8635

NPI assigned

Aug 29, 2012

Last updated

Nov 12, 2013By 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 PA, NY2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

New York Surgicalist Services, P.C.Group PAC ID 7911306956, 9 clinicians

Advanced Inpatient Medicine PCGroup PAC ID 6406995778, 25 clinicians

Acute Care Surgery Medical Group IncGroup PAC ID 7214006816, 205 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Montefiore St Luke's Cornwall Hospital, Newburgh, NY, CCN 330264

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.

• Advanced Inpatient Medicine PC

  • Hospitalist Physician
  • Scranton, PA
  • NPI 1871725366
  Medicare reassignment Care Compare group NPD
• Acute Care Surgery Medical Group, Inc.

  • Surgery Physician
  • Sacramento, CA
  • NPI 1700069549

  NY

  Medicare reassignment Care Compare group NPD
• New York Surgicalist Services, P.C.

  • Surgery Physician
  • Newburgh, NY
  • NPI 1720663768
  Medicare reassignment Care Compare group NPD
• Adfinitas Health Palliative Services, LLC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Honesdale, PA
  • NPI 1710734785
  Medicare reassignment NPD
• Advanced Inpatient Medicine Associates PC

  • Hospitalist Physician
  • Wilkes Barre, PA
  • NPI 1396168589
  Medicare reassignment NPD
• Advanced Inpatient Medicine Transitional Care - Ltcaco LLC

  • Internal Medicine Physician
  • Wilkes Barre, PA
  • NPI 1427944859
  Medicare reassignment NPD

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

• St. Luke's Cornwall Hospital

  • General Acute Care Hospital
  • Newburgh, NY
  • NPI 1003923434
  Care Compare affiliation

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384214400000",
    "number": "1285983890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 MAPLE AVE STE 1",
            "city": "HONESDALE",
            "state": "PA",
            "postal_code": "184311436",
            "telephone_number": "570-253-8635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MAPLE AVE STE 1",
            "city": "HONESDALE",
            "state": "PA",
            "postal_code": "184311436",
            "telephone_number": "570-253-8635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRACY",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-29",
        "last_updated": "2013-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "PA",
            "license": "SP012291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Martha Thompson, LPC
• Brooke Thomson, PT, DPT
• Scott Tiberi, CRNP
• Total Foot and Ankle Center
• Total Renal Care Inc (Honesdale Dialysis Center)
• Tri County Ear Nose & Throat PC
• Tri County Human Services Center Inc
• Tri County Human Services Center Inc
• Tri County Human Services Center Inc
• True to You Therapy, LLC

• Acute Care Nurse Practitioner in Honesdale, PA
• Providers in Honesdale, PA by specialty
• Acute Care Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2013; 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.