Tracy Kimberly Newman, PMHNP, CNP, RN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

NP9811-2415705-36924 Issued in MN

Practice address

7430 Wentworth Ave
Richfield, MN 55423-4133

Phone

(612) 488-0040

Fax

(833) 973-4055

NPI assigned

Dec 15, 2022

Last updated

Nov 25, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in MN

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mending Mental HealthGroup PAC ID 0446690770, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/21285/brand/1/csg/1/fhir/r4
• Direct secure messaging: tracy.newman.1@31911.direct.athenahealth.com

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.

• Mending Mental Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Richfield, MN
  • NPI 1720846215

  Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD
• Dr Sujit R Varma Inc

  • Psychiatry Physician
  • Edina, MN
  • NPI 1194098053
  Medicare reassignment NPD

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

{
    "created_epoch": "1671062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1295447894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "376 COUNTY ROAD F E",
            "city": "VADNAIS HEIGHTS",
            "state": "MN",
            "postal_code": "551276109",
            "telephone_number": "651-491-5425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7430 WENTWORTH AVE",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554234133",
            "telephone_number": "612-488-0040",
            "fax_number": "833-973-4055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "376 County Road F E",
            "address_purpose": "LOCATION",
            "city": "Vadnais Heights",
            "state": "MN",
            "postal_code": "551276109",
            "country_code": "US",
            "telephone_number": "651-491-5425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEWMAN",
        "first_name": "TRACY",
        "middle_name": "KIMBERLY",
        "name_prefix": "Ms.",
        "credential": "PMHNP, CNP, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-15",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "NP9811-2415705-36924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "NewmanTK",
            "affiliation": "N",
            "endpointDescription": "PMHNP",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Sole Provider",
            "address_1": "376 County Road F E",
            "city": "Vadnais Heights",
            "state": "MN",
            "country_code": "US",
            "postal_code": "551276109",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@mendingmh.com",
            "affiliation": "Y",
            "endpointDescription": "clinic email",
            "affiliationName": "Mending Mental Health",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "7430 Wentworth Ave",
            "city": "Richfield",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554234133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Neuvision Therapy & Rehabilitation
• Joseph William Neve, AUD, CCC-A
• New Perspective Behavioral Systems LLC
• New Perspectives Behaviroal Health Systems
• Marcie New
• Cecilia Katherine Ney
• Armel Ngah, PMHNP-BC
• Julee Vongkhamdeng Nguyen
• Tran Bao Nguyen, DPM
• Junaid Niazi, MD, MPH

• Psychiatric/Mental Health Nurse Practitioner in Richfield, MN
• Providers in Richfield, MN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; 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.