Active NPI
Tracy Reed Straka, FNP
- Family Nurse Practitioner
- Beavercreek, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- COA.15602-NP
- Practice address
- 3371 Kemp Rd
Beavercreek, OH 45431-2514 - Phone
- (937) 458-4200
- Fax
- (937) 458-4209
- NPI assigned
- Feb 7, 2014
- Last updated
- Nov 19, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | COA.15602-NP | OH | Primary |
Addresses
Primary practice location
3371 Kemp Rd
Beavercreek, OH 45431-2514
Mailing address
3371 Kemp Rd
Beavercreek, OH 45431-2514
Phone (937) 458-4200
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tstraka9912@direct.ketteringhealth.org | ||
| FHIR URL | https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Cincinnati College of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1625 S Alex Rd
West Carrollton, OH 45449-5404
Phone (937) 865-0534
424 E Stroop Rd
Unit B
Ketterign, OH 45429-2843
Phone (937) 562-2300
50 N Progress Dr
Xenia, OH 45385-2666
Phone (937) 562-2280
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.8 of 100
- Quality
- 73.21
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.12
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COA.15602-NP | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alliance Physicians Inc | Current | Accepting new patients | |
| Alliance Physicians Inc | Current | Accepting new patients | |
| Alliance Physicians Inc | Past | Accepting new patients | |
| Alliance Physicians Inc | Past | Accepting new patients |
Locations
3371 Kemp Rd
Beavercreek, OH 45431
Phone (937) 320-3600
101 E Alex Bell Rd
Ste 190
Dayton, OH 45459
Phone (937) 425-4020
3095 Dayton Xenia Rd
Ste 100
Dayton, OH 45434
Phone (937) 458-4200
979 Congress Park Dr
Dayton, OH 45459
Phone (937) 435-9013
8701 Troy Pike
Huber Heights, OH 45424
Phone (937) 558-3309
424 E Stroop Rd
Unit B
Kettering, OH 45429
Phone (937) 562-2300
1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 762-1306
1028 Miamisburg Centerville Rd
Washington Township, OH 45459
Phone (937) 281-6340
1625 S Alex Rd
West Carrollton, OH 45449
Phone (937) 865-0534
50 N Progress Dr
Xenia, OH 45385
Phone (937) 352-2850
Interoperability endpoints
- tstraka9912@direct.ketteringhealth.org
Organizations & group practices 4
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.
-
dba Kettering Health Medical Group
- Family Medicine Physician
- Kettering, OH
- NPI 1437125572
-
dba Kettering Health Urgent Care
- Urgent Care Clinic/Center
- Beavercreek, OH
- NPI 1639582182
-
dba Kettering Health Urgent Care
- Urgent Care Clinic/Center
- Huber Heights, OH
- NPI 1689077364
-
dba Kettering Health Urgent Care
- Urgent Care Clinic/Center
- Xenia, OH
- NPI 1952714420
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605744000000",
"number": "1336563618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3371 KEMP RD",
"city": "BEAVERCREEK",
"state": "OH",
"postal_code": "454312514",
"telephone_number": "937-458-4200",
"fax_number": "937-458-4209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3371 KEMP RD",
"city": "BEAVERCREEK",
"state": "OH",
"postal_code": "454312514",
"telephone_number": "937-458-4200",
"fax_number": "937-458-4209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STRAKA",
"first_name": "TRACY",
"middle_name": "REED",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-07",
"last_updated": "2020-11-19",
"certification_date": "2020-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "COA.15602-NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tstraka9912@direct.ketteringhealth.org",
"affiliation": "N",
"address_1": "3371 Kemp Rd",
"city": "Beavercreek",
"state": "OH",
"country_code": "US",
"postal_code": "454312514",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "3371 Kemp Rd",
"city": "Beavercreek",
"state": "OH",
"country_code": "US",
"postal_code": "454312514",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Beavercreek, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; 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.