Active NPI
Tracy D Osborne, MSN, FNP-C
- Family Nurse Practitioner
- Fort Mohave, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP4907
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 800185 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, WY, NH, ME, NM, FL, PA, NJ, WA, AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 10
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 PLLCTeton County Hospital DistrictDaniel Funsch Jr MD PCValley View Physician Practices LLC
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
- St Johns Medical Center
- Mountain View Hospital
- Rochester Manor
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP4907 | AZ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Lincoln County Hospital District | Current | Accepting new patients | |
| Valley View Physician Practices, LLC | Current | Accepting new patients | |
| Teton County Hospital District | Current | Accepting new patients | |
| North Lincoln County Hospital District | Current | Accepting new patients | |
| Valley View Physician Practices LLC | Family | Current | 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
- 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.
-
- Emergency Medicine Physician
- New York, NY
- NPI 1700558798
AR, FL, ME, NH, NM, PA, WA
-
- Behavioral Neurology & Neuropsychiatry Physician
- New York, NY
- NPI 1114894540
FL, ME, NH, NM
-
- Nursing Care Agency
- Star Valley Ranch, WY
- NPI 1619895737
-
- Home Health Agency
- Jackson, WY
- NPI 1194744235
-
- Skilled Nursing Facility
- Jackson, WY
- NPI 1215064985
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2026; 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.