Tracy D Dunn, NP
Individual provider Active NPI Adult Health Nurse Practitioner · Cody, WY
NPI 1295077808 · NPPES record last updated May 8, 2024
Key facts
- NPI
- 1295077808
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- 45400 (WY)
- Practice address
- 707 Sheridan Ave
Cody, WY 82414-3409 - Phone
- (307) 527-7501
- NPI assigned
- Mar 21, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 25
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- West Park Hospital District
Practice addresses (Care Compare)
707 Sheridan Ave
Cody, WY 82414-3409
Phone (307) 527-7501
Hospital & facility affiliations
- Cody Regional Health
- Cody Regional Health
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (5 enrollments) in TX, NM, WY, AZ, CO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200414002117 | TX | Practitioner - Nurse Practitioner | 3870736697 | Reassigns benefits to 4 organizations |
| I20210728002907 | NM | Practitioner - Nurse Practitioner | 3870736697 | Reassigns benefits to 1 organization |
| I20220906000584 | WY | Practitioner - Nurse Practitioner | 3870736697 | Reassigns benefits to 4 organizations |
| I20221116000810 | AZ | Practitioner - Nurse Practitioner | 3870736697 | Reassigns benefits to 1 organization |
| I20221117001478 | CO | Practitioner - Nurse Practitioner | 3870736697 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRNCNP14350 | OH | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ton Santa Rosa Health Center | Current |
Accepting new patients | |
| Southern Arizona Urgent Care, LLC | Current |
Accepting new patients | |
| Ton Sells Hospital | Current |
Accepting new patients | |
| Openloop Healthcare Partners PC | Current |
Accepting new patients | |
| Sound Physicians of Wyoming, LLC | Current |
Accepting new patients | |
| Ton San Xavier Health Center | Current |
Accepting new patients | |
| West Park Hospital District | Current |
Accepting new patients | |
| West Park Hospital District | Current | Accepting new patients | |
| Presbyterian Medical Services | Current |
Accepting new patients | |
| Presbyterian Medical Services | Current | Accepting new patients | |
| Southern Arizona Urgent Care, LLC | Current |
Accepting new patients | |
| Carbon Health Medical Group of Florida PA | Current |
Accepting new patients | |
| Southern Arizona Urgent Care LLC | Current | Accepting new patients | |
| Cody Regional Health EMS | Current |
Accepting new patients | |
| Openloop Healthcare Partners Colorado, PC | Current |
Accepting new patients | |
| Presbyterian Medical Services | Current |
Accepting new patients | |
| West Park Hospital District | Current |
Accepting new patients | |
| Ton San Simon Health Center | Current |
Accepting new patients | |
| Ton Sells Hospital | Past | Accepting new patients | |
| West Park Hospital District Long Term Care Center | Past | Accepting new patients | |
| Ton Santa Rosa Health Center | Past | Accepting new patients | |
| Ton San Xavier Health Center | Past | Accepting new patients |
Locations
7900 S J Stock Rd
Tucson, AZ 85746
Phone (520) 295-2550
90 W River Rd
Tucson, AZ 85704
Phone (520) 912-4200
7725 N Oracle Rd
Ste 131
Tucson, AZ 85704
Phone (520) 544-2273
3662 W Ina Rd
Ste 150
Tucson, AZ 85741
Phone (520) 900-7020
7900 S J Stock Rd
Ste 645T
Tucson, AZ 85746
1600 Broadway
Ste 1600
Denver, CO 80202
Phone (970) 592-8970
9116 W Bowles Ave
Ste 3A
Littleton, CO 80123
Phone (303) 904-2600
317 6th Ave
Ste 400
Des Moines, IA 50309
Phone (515) 612-9097
1422 Paseo de Peralta
Santa Fe, NM 87501
Phone (505) 982-5565
1233 E 2nd St
Casper, WY 82601
Phone (307) 577-2171
1908 Thomes Ave
Cheyenne, WY 82001
424 Yellowstone Ave
Ste 120
Cody, WY 82414
Phone (307) 578-2903
707 Sheridan Ave
Cody, WY 82414
Phone (307) 527-7561
Interoperability endpoints
- https://api.platform.athenahealth.com/16076/brand/3/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | APRNCNP14350 | OH | |
| Adult Health Nurse Practitioner | 363LA2200X | 45400 | WY | Yes |
Addresses
Primary practice location
707 Sheridan Ave
Cody, WY 82414-3409
Mailing address
707 Sheridan Ave
Cody, WY 82414-3409
Phone (307) 527-7501
Other practice location 1
4881 State Route 125
Georgetown, OH 45121-9550
Phone (937) 378-2526
Other providers in Cody, WY
- Kevin S. Dougherty
- Harley Belle Dove
- Andrew L Dowling
- Dr. Randy Folker ENT and Allergy, PC
- Ethan Ducharme
- Eaglemed LLC
- Chad Eagleton
- Jodi Lynne Eatherly
- Craig James Edwards
- Thomas S Edwards
All providers in Cody, WY · Adult Health Nurse Practitioner in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 8, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.