Tracy Adele Caswell, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

209.0201240 Issued in IL

Practice address

1201 Ricker Rd
Salem, IL 62881-4263

Phone

(618) 548-3194

NPI assigned

Sep 26, 2019

Last updated

Dec 29, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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 IL

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Salem Township HospitalGroup PAC ID 0840195277, 26 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Salem Township Hospital Hospital, Salem, IL, CCN 141345

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tcaswe01@yourcarecommunity.org

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.

• Salem Township Hospital

  • Critical Access Hospital
  • Salem, IL
  • NPI 1295739548
  Medicare reassignment Care Compare group NPD
• Deaconess Illinois Crossroads Inc

  dba Crossroads Family Medicine of Wayne City

  • Rural Health Clinic/Center
  • Wayne City, IL
  • NPI 1528785284
  Medicare reassignment NPD
• Deaconess Illinois Specialty Clinic, Inc.

  dba Deaconess IL Specialty 3331 DeYoung

  • Surgery Physician
  • Marion, IL
  • NPI 1972210235

  Nurse Practitioner

  Medicare reassignment NPD
• Deaconess Illinois Crossroads Inc

  dba Crossroads Internal Medicine

  • Rural Health Clinic/Center
  • Mount Vernon, IL
  • NPI 1316663602
  NPD
• Deaconess Illinois Specialty Clinic, Inc.

  dba Deaconess IL Specialty Express 2700 DeYoung

  • Family Medicine Physician
  • Marion, IL
  • NPI 1134836695

  Nurse Practitioner

  NPD
• Deaconess Illinois Specialty Clinic, Inc.

  dba Deaconess Care Group Illinois Union County

  • Hospitalist Physician
  • Anna, IL
  • NPI 1225858251

  Nurse Practitioner

  NPD
• Salem Township Hospital

  dba STH Family Health Care Center

  • Rural Health Clinic/Center
  • Salem, IL
  • NPI 1649830472
  NPD
• Salem Township Hospital

  dba STH Rural Health Clinic

  • Rural Health Clinic/Center
  • Salem, IL
  • NPI 1265467195
  NPD (past)

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

• Salem Township Hospital

  • Critical Access Hospital
  • Salem, IL
  • NPI 1295739548
  Care Compare affiliation

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

{
    "created_epoch": "1569456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672272000000",
    "number": "1407407885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5370 CHURCH RD",
            "city": "SALEM",
            "state": "IL",
            "postal_code": "628817202",
            "telephone_number": "618-367-6145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 RICKER RD",
            "city": "SALEM",
            "state": "IL",
            "postal_code": "628814263",
            "telephone_number": "618-548-3194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASWELL",
        "first_name": "TRACY",
        "middle_name": "ADELE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-26",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.0201240",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.020124041.288784",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber S Bruce, APRN, FNP-C
• Jessica Linn Bryan
• Lou B Bryant, PH.D
• Staci Lynn Burleyson, FNP-C
• Katie Jeannine Burmeister, D.C.
• Quinn Kun Chen, DDS
• Kyle Allen Clark, D.M.D.
• Danielle Nichole Cole, RBT
• Community Care Systems, Inc.
• Community Resource Center Inc

• Nurse Practitioner in Salem, IL
• Providers in Salem, IL by specialty
• Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2022; 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.