Individual provider Active NPI

Tracey Machell Hooper, NP-C

  • Family Nurse Practitioner
  • McEwen, TN
National Provider Identifier
1306242326
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
19386 Issued in TN
Practice address
124 Main St
MC Ewen, TN 37101-4590
Phone
(931) 228-9040
Fax
(931) 228-9041
NPI assigned
Nov 18, 2014
Last updated
Jan 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 19386 TN
Family Nurse Practitioner 363LF0000X 19386 TN Primary
Primary Care Nurse Practitioner 363LP2300X 19386 TN

Addresses

Primary practice location

124 Main St
MC Ewen, TN 37101-4590

Mailing address

124 Main St
MC Ewen, TN 37101-4590
Phone (931) 228-9040

Other identifiers 1

IdentifierTypeStateIssuer
1700284825MedicaidTN

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
I20150310000735 TN Practitioner - Nurse Practitioner 9739405762 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

124 Main St
MC Ewen, TN 37101-4590
Phone (931) 228-9040

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.36 of 100Reported as individual
Quality
63.71
Promoting interoperability
93
Improvement activities
40
Cost
100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19386TNMDPrimary Care Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health, LLC Primary Care CurrentSince Nov 19, 2014 Accepting new patients
Herbison Medical Inc. PastSince Jan 19, 2025 Accepting new patients

Locations

106 Main St
Mc Ewen, TN 37101
Phone (931) 228-9040

124 Main St
Mc Ewen, TN 37101
Phone (931) 228-9040

Interoperability endpoints

  • Direct secure messaging: tracey.hooper.1@27490.direct.athenahealth.com

Organizations & group practices 2

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.

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": "1416268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1306242326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 MAIN ST",
            "city": "MC EWEN",
            "state": "TN",
            "postal_code": "371014590",
            "telephone_number": "931-228-9040",
            "fax_number": "931-228-9041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 MAIN ST",
            "city": "MC EWEN",
            "state": "TN",
            "postal_code": "371014590",
            "telephone_number": "931-228-9040",
            "fax_number": "931-228-9041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOPER",
        "first_name": "TRACEY",
        "middle_name": "MACHELL",
        "name_prefix": "Ms.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-18",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TN",
            "license": "19386",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "19386",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TN",
            "license": "19386",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1700284825",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McEwen, TN

Sources for this page

Verify at the official NPI Registry.