Tracy Sprague

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

53-77498 Issued in KS

Practice address

910 N College Ave Ste 4
Columbia, MO 65201-4797

Phone

(636) 642-1215

Fax

(573) 234-4799

NPI assigned

Jan 13, 2017

Last updated

Oct 15, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KS, MO2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Senior Care of Missouri IncGroup PAC ID 1052853421, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Central Missouri Home Health Home health agency, Jefferson City, MO, CCN 267448
• Phoenix Home Care Home health agency, Jefferson City, MO, CCN 267597
• Boone Hospital Center Hospital, Columbia, MO, CCN 260068

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14729/brand/1/csg/1/fhir/r4

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.

• Advanced Senior Care of Missouri Inc

  dba Advanced Senior Care

  • Internal Medicine Physician
  • Columbia, MO
  • NPI 1245087295
  Medicare reassignment Care Compare group NPD
• Ps127&Jn434, LLC

  dba Vintage Medical Associates

  • Family Medicine Physician
  • Topeka, KS
  • NPI 1134420821
  Medicare reassignment NPD
• Midland Care Physician Services LLC

  • Multi-Specialty Clinic/Center
  • Topeka, KS
  • NPI 1194448548
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• LHCG Cxlvi, LLC

  dba Central Missouri Home Health

  • Home Health Agency
  • Jefferson City, MO
  • NPI 1881257145
  Care Compare affiliation Name & address match
• CH Allied Services, Inc

  dba Boone Hospital Center

  • Cardiac Rehabilitation Clinic/Center
  • Columbia, MO
  • NPI 1548734734

  Hospital

  Care Compare affiliation
• CH Allied Services, Inc.

  dba Boone Hospital Center

  • General Acute Care Hospital
  • Columbia, MO
  • NPI 1902817844
  Care Compare affiliation
• Phoenix Home Care, LLC

  dba Phoenix Home Care

  • Home Health Agency
  • Jefferson City, MO
  • NPI 1366888059
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1484265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1366988339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 COPPERAS RD",
            "city": "ELDON",
            "state": "MO",
            "postal_code": "650264838",
            "telephone_number": "785-364-7300",
            "fax_number": "573-234-4799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 N COLLEGE AVE STE 4",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652014797",
            "telephone_number": "636-642-1215",
            "fax_number": "573-234-4799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRAGUE",
        "first_name": "TRACY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-13",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "KS",
            "license": "53-77498",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "KS",
            "license": "53-77498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Wade Spilman
• Savana Spitz, PT
• Linda E Spollen, MD
• Christopher Joseph Sporleder, DO
• Sport and Spine Rehab
• Ginger Spratt, RRT
• Lori A. Spry, MSW, LCSW
• SPS Practice Group, LLC
• Alexandria Spurgeon, MD
• Alisha Squires

• Gerontology Nurse Practitioner in Columbia, MO
• Providers in Columbia, MO by specialty
• Gerontology Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.

Verify at the official NPI Registry.