Individual provider Active NPI

Tracy Reed Straka, FNP

  • Family Nurse Practitioner
  • Beavercreek, OH
National Provider Identifier
1336563618
Registry record updated Nov 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA.15602-NP Issued in OH
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, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140306000628 OH Practitioner - Nurse Practitioner 8224268594 Reassigns benefits to 1 organization

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
Alliance Physicians IncGroup PAC ID 0840104360, 314 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
COA.15602-NPOHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Physicians Inc CurrentSince Sep 14, 2015 Accepting new patients
Alliance Physicians Inc CurrentSince Sep 14, 2015 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.