Individual provider Active NPI

Tracy D Osborne, MSN, FNP-C

  • Family Nurse Practitioner
  • Fort Mohave, AZ
National Provider Identifier
1306187158
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP4907 Issued in AZ
Practice address
5330 S Highway 95
Fort Mohave, AZ 86426-9225
Phone
(928) 542-2938
NPI assigned
Mar 4, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 47671 WY
Nurse Practitioner 363L00000X 5471065 ID
Family Nurse Practitioner 363LF0000X AP4907 AZ Primary

Addresses

Primary practice location

5330 S Highway 95
Fort Mohave, AZ 86426-9225

Mailing address

5301 Muddy String Rd # 7249
Star Valley Ranch, WY 83127-5222
Phone (928) 542-2938

Other identifiers 1

IdentifierTypeStateIssuer
800185MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, WY, NH, ME, NM, FL, PA, NJ, WA, AR10 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 10

Enrollment IDStateProvider typePAC IDDetails
I20131219000805 AZ Practitioner - Nurse Practitioner 6709013790 Reassigns benefits to 1 organization
I20210628003040 WY Practitioner - Nurse Practitioner 6709013790 Reassigns benefits to 3 organizations
I20260507000139 NH Practitioner - Nurse Practitioner 6709013790 Reassigns benefits to 3 organizations
I20260507000231 ME Practitioner - Nurse Practitioner 6709013790 Reassigns benefits to 3 organizations
I20260508001821 NM Practitioner - Nurse Practitioner 6709013790 Reassigns benefits to 3 organizations
I20260511001092 FL Practitioner - Nurse Practitioner 6709013790 Reassigns benefits to 4 organizations
I20260511002502 PA Practitioner - Nurse Practitioner 6709013790 Reassigns benefits to 1 organization
I20260521003120 NJ Practitioner - Nurse Practitioner 6709013790 Reassigns benefits to 1 organization
I20260522002638 WA Practitioner - Nurse Practitioner 6709013790 Reassigns benefits to 1 organization
I20260529003634 AR Practitioner - Nurse Practitioner 6709013790 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ivy Medical Group PLLC 120 clinicians
Teton County Hospital District 107 clinicians
Daniel Funsch Jr MD PC 139 clinicians
Valley View Physician Practices LLC 10 clinicians

Practice addresses (Care Compare)

100 Abbeyville Rd
Lancaster, PA 17603-4604
Phone (212) 734-6621

1415 S Hwy 89
Jackson, WY 83001-8515
Phone (307) 739-8999

1507 S Tuttle Ave
Sarasota, FL 34239-2608
Phone (212) 734-6621

20 Maitland St
Concord, NH 03301-3534
Phone (212) 734-6621

5300 S Hwy 95
Fort Mohave, AZ 86426-9251

Hospital & facility affiliations

  • Valley View Medical Center Hospital, Fort Mohave, AZ, CCN 030117
  • St Johns Medical Center Hospital, Jackson, WY, CCN 530015
  • Mountain View Hospital Hospital, Idaho Falls, ID, CCN 130065
  • Rochester Manor Nursing home, Rochester, NH, CCN 305024

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP4907AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Lincoln County Hospital District CurrentSince Aug 2, 2021 Accepting new patients
Valley View Physician Practices, LLC CurrentSince Apr 1, 2015 Accepting new patients
Teton County Hospital District CurrentSince Jun 30, 2025 Accepting new patients
North Lincoln County Hospital District CurrentSince Aug 2, 2021 Accepting new patients
Valley View Physician Practices LLC Family CurrentSince Apr 1, 2015 Accepting new patients
Valley View Physician Practices LLC Current Accepting new patients
Apn Staffing LLC Past Accepting new patients

Locations

3641 Highway 95
Bullhead City, AZ 86442
Phone (928) 704-4334

5300 S Highway 95
Ste C
Fort Mohave, AZ 86426
Phone (928) 768-2330

5330 S Highway 95
Ste B
Fort Mohave, AZ 86426

5330 S Highway 95
Fort Mohave, AZ 86426
Phone (928) 788-2273

110 Hospital Ln
Afton, WY 83110
Phone (208) 227-1137

901 Adams St
Afton, WY 83110
Phone (307) 885-5800

Interoperability endpoints

  • Direct secure messaging: tosborne625138@direct.ochin.org

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 3

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": "1362355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783641600000",
    "number": "1306187158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 MUDDY STRING RD # 7249",
            "city": "STAR VALLEY RANCH",
            "state": "WY",
            "postal_code": "831275222",
            "telephone_number": "928-542-2938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5330 S HIGHWAY 95",
            "city": "FORT MOHAVE",
            "state": "AZ",
            "postal_code": "864269225",
            "telephone_number": "928-542-2938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBORNE",
        "first_name": "TRACY",
        "middle_name": "D",
        "credential": "MSN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-04",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WY",
            "license": "47671",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ID",
            "license": "5471065",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP4907",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "800185",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Mohave, AZ

Sources for this page

Verify at the official NPI Registry.