Tracey Lynn Baehler, APRN, CNP
Individual provider Active NPI Nurse Practitioner · Saint Paul, MN
NPI 1316950686 · NPPES record last updated Apr 14, 2023
Key facts
- NPI
- 1316950686
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- CNP 5026 (MN)
- Practice address
- 2620 Eagan Woods Dr
Saint Paul, MN 55121-1138 - Phone
- (651) 968-5201
- Fax
- (651) 968-5903
- NPI assigned
- Aug 15, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 19
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Summit Orthopedics, LTD
Practice addresses (Care Compare)
2620 Eagan Woods Dr
Eagan, MN 55121-1138
Phone (651) 968-5201
319 S Main St
River Falls, WI 54022-2452
Phone (651) 968-5201
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MN, WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170601001580 | MN | Practitioner - Nurse Practitioner | 2668749292 | Reassigns benefits to 2 organizations |
| I20230424000684 | WI | Practitioner - Nurse Practitioner | 2668749292 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNP 5026 | MN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Orthopedics LTD | Current |
Accepting new patients | |
| Summit Orthopedics LTD | Current | Accepting new patients | |
| Mngi Digestive Health, P.a. | Current |
Accepting new patients | |
| Summit Orthopedics, LTD | Current |
Accepting new patients | |
| Ilbnc, P.a. | Past | Accepting new patients |
Locations
1185 Town Centre Dr
Ste 205
Eagan, MN 55123
17210 Kenyon Ave
Lakeville, MN 55044
Phone (651) 968-5960
15700 37th Ave N
Plymouth, MN 55446
Phone (763) 577-0008
2620 Eagan Woods Dr
Saint Paul, MN 55121
Phone (651) 968-5142
1661 Saint Anthony Ave
Saint Paul, MN 55104
Phone (651) 968-5300
710 Commerce Dr
Ste 200
Woodbury, MN 55125
Phone (651) 968-5042
319 S Main St
River Falls, WI 54022
Phone (715) 425-6701
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- traceybaehler@sol.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | CNP 5026 | MN | Yes |
Addresses
Primary practice location
2620 Eagan Woods Dr
Saint Paul, MN 55121-1138
Mailing address
710 Commerce Dr Ste 200
Woodbury, MN 55125-4925
Other names
- Tracey Lynn Holmgren
Other providers in Saint Paul, MN
- Maria Backstrom
- David Backus
- Eric Bacon
- Christopher Bade
- Bryan Bader
- Brooke Krista Baeth
- Nathan Douglas Baggett
- Peyton Baggott
- Fatmata Binta Bah
- Kimberly Joy Bahma
All providers in Saint Paul, MN · Nurse Practitioner in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 14, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.