Individual provider Active NPI

Tracie Price, FNP

  • Family Nurse Practitioner
  • Kingsport, TN
National Provider Identifier
1295064798
Registry record updated Oct 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
14629 Issued in TN
Practice address
8 Sheridan SQ
Ste 200
Kingsport, TN 37660-7479
Phone
(423) 247-5553
Fax
(423) 247-9254
NPI assigned
Dec 11, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2019

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 14629 TN Primary

Addresses

Primary practice location

8 Sheridan SQ
Ste 200
Kingsport, TN 37660-7479

Mailing address

8 Sheridan SQ
Ste 200
Kingsport, TN 37660-7479
Phone (423) 247-5553

Other identifiers 1

IdentifierTypeStateIssuer
1517513MedicaidTN

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100209000166 TN Practitioner - Nurse Practitioner 0547303802 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Neurologists of KingsportGroup PAC ID 4880669308, 4 clinicians

Practice addresses (Care Compare)

8 Sheridan SQ
Suite 200
Kingsport, TN 37660-7479
Phone (423) 247-5553

Hospital & facility affiliations

  • Wellmont Holston Valley Medical Center Hospital, Kingsport, TN, CCN 440017
  • Indian Path Community Hospital Hospital, Kingsport, TN, CCN 440176
  • Lonesome Pine Hospital Hospital, Big Stone Gap, VA, CCN 490114
  • Wellmont Bristol Regional Medical Center Hospital, Bristol, TN, CCN 440012

Merit-based Incentive Payment System (MIPS)

Final score
86.45 of 100Reported as group
Quality
69.4
Improvement activities
40
Cost
91.16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
14629TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Neurologists of Kingsport CurrentSince Mar 3, 2016 Accepting new patients

Locations

8 Sheridan Sq
Ste 200
Kingsport, TN 37660
Phone (423) 247-5553

Organizations & group practices 1

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": "1260489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1295064798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 SHERIDAN SQ",
            "address_2": "STE 200",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376607479",
            "telephone_number": "423-247-5553",
            "fax_number": "423-247-9254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 SHERIDAN SQ",
            "address_2": "STE 200",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376607479",
            "telephone_number": "423-247-5553",
            "fax_number": "423-247-9254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "TRACIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-11",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "14629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1517513",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsport, TN

Sources for this page

Verify at the official NPI Registry.