Active NPI
Tracey L Fox, MSN, FNP
- Family Nurse Practitioner
- Portland, OR
National Provider Identifier
1316108301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 201504213NP-PP
- Practice address
- 3303 S Bond Ave
Portland, OR 97239-4501 - Phone
- (503) 494-5058
- Fax
- (503) 494-5065
- NPI assigned
- Jun 23, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | AP081908 | ME | |
| Family Nurse Practitioner | 363LF0000X | R052968 | ME | |
| Family Nurse Practitioner | 363LF0000X | 201504213NP-PP | OR | Primary |
Addresses
Primary practice location
3303 S Bond Ave
Portland, OR 97239-4501
Mailing address
1400 SW 5TH Ave Ste 500
Portland, OR 97201-5537
Phone (666) 176-8558
Other practice location 1
900 SE Oak St Ste 202
Hillsboro, OR 97123-4287
Phone (503) 640-3724
Other names 1
- Tracey F Durst
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 99.11 of 100
- Quality
- 84.29
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP081908 | ME | MD | Nurse Practitioner |
| 201504213NP-PP | OR | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tuality Physicians, P.C. | Family Medicine | Past | Accepting new patients |
| Care Partners | Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/dab37ab4-940f-46d2-83dd-9830ab97c4d5/
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 and National Provider Directory roles.
-
dba Tuality Physicians
- Family Medicine Physician
- Hillsboro, OR
- NPI 1073691556
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702252800000",
"number": "1316108301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 SW 5TH AVE STE 500",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972015537",
"telephone_number": "666-176-8558",
"fax_number": "503-346-8015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3303 S BOND AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972394501",
"telephone_number": "503-494-5058",
"fax_number": "503-494-5065"
}
],
"practiceLocations": [
{
"address_1": "900 SE Oak St Ste 202",
"address_purpose": "LOCATION",
"city": "Hillsboro",
"state": "OR",
"postal_code": "971234287",
"country_code": "US",
"telephone_number": "503-640-3724",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FOX",
"first_name": "TRACEY",
"middle_name": "L",
"credential": "MSN, FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-23",
"last_updated": "2023-12-11",
"certification_date": "2023-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "ME",
"license": "AP081908",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ME",
"license": "R052968",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "201504213NP-PP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TRACEY",
"last_name": "DURST",
"middle_name": "F",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.