Individual provider Active NPI

Tracy Mahaney

  • Family Nurse Practitioner
  • Florence, KY
National Provider Identifier
1417401423
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.019343 Issued in OH
Practice address
7370 Turfway Rd Ste 280
Florence, KY 41042-4896
Phone
(859) 212-4567
Fax
(859) 212-4768
NPI assigned
Aug 8, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3010403 KY
Family Nurse Practitioner 363LF0000X APRN.CNP.019343 OH Primary

Addresses

Primary practice location

7370 Turfway Rd Ste 280
Florence, KY 41042-4896

Mailing address

7370 Turfway Rd Ste 280
Florence, KY 41042-4896
Phone (859) 212-4567

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, WV2 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

Enrollment IDStateProvider typePAC IDDetails
I20160830002573 OH Practitioner - Nurse Practitioner 7012203003 Reassigns benefits to 1 organization
I20260513001627 WV Practitioner - Nurse Practitioner 7012203003 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

424 Church St
Nashville, TN 37219-2301

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3010403KYMDFamily Nurse Practitioner
APRN.CNP.019343OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Health Network LLC CurrentSince Jan 1, 2026 Accepting new patients
Helen Holtman, M.D. and Associates Inc. PastSince Aug 15, 2016 Accepting new patients
Paul J Janson MD PSC PastSince Jul 24, 2022 Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

1690 Woodlands Dr
Ste 200
Maumee, OH 43537
Phone (419) 491-0420

Interoperability endpoints

  • Direct secure messaging: tracy.mahaney.1@14940.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1470614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1417401423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7370 TURFWAY RD STE 280",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410424896",
            "telephone_number": "859-212-4567",
            "fax_number": "859-212-4768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7370 TURFWAY RD STE 280",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410424896",
            "telephone_number": "859-212-4567",
            "fax_number": "859-212-4768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHANEY",
        "first_name": "TRACY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-08",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3010403",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.019343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, KY

Sources for this page

Verify at the official NPI Registry.