Individual provider Active NPI

Tracie Watkins Abel, NP

  • Nurse Practitioner
  • Germantown, TN
National Provider Identifier
1437510773
Registry record updated Mar 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0000020417 Issued in TN
Practice address
7945 Wolf River Blvd
Germantown, TN 38138-1762
Phone
(901) 683-0055
Fax
(901) 685-2969
NPI assigned
Mar 15, 2016
Last updated
Mar 14, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0000020417 TN Primary

Addresses

Primary practice location

7945 Wolf River Blvd
Germantown, TN 38138-1762

Mailing address

7714 Poplar Ave Ste 200
Germantown, TN 38138-3941
Phone (901) 683-0055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS2 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
I20160426000142 TN Practitioner - Nurse Practitioner 3375842354 Reassigns benefits to 3 organizations
I20190722001237 MS Practitioner - Nurse Practitioner 3375842354 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sleep Management Clinic LLCGroup PAC ID 9638473101, 3 clinicians
Sleep Management Clinic-TN, LLCGroup PAC ID 3476810979, 2 clinicians

Practice addresses (Care Compare)

6858 Swinnea Rd
Southaven, MS 38671-9493
Phone (662) 349-9802

7730 Wolf River Blvd
Suite 106
Germantown, TN 38138-1737
Phone (901) 405-1023

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0000020417TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sleep Management Clinic-TN, LLC CurrentSince Aug 1, 2020 Accepting new patients
Curana Health of Tennessee LLC Nurse Practitioner CurrentSince Jun 6, 2022 Accepting new patients
Sleep Management Clinic, LLC CurrentSince Aug 1, 2020 Accepting new patients
Memphis Internists, LLC Past Accepting new patients
Sleep Study Clinics of West Tennessee LLC Past Accepting new patients

Locations

1509 Dulles Dr
Lafayette, LA 70506
Phone (337) 408-0803

2889 S Lamar Blvd
Oxford, MS 38655
Phone (662) 259-7533

6858 Swinnea Rd
Southaven, MS 38671
Phone (662) 349-9802

6858 Swinnea Rd
#1B
Southaven, MS 38671
Phone (662) 349-9802

7730 Wolf River Blvd
Ste 106
Germantown, TN 38138
Phone (731) 445-1852

5865 Ridgeway Center Pkwy
Memphis, TN 38120
Phone (901) 210-1010

Interoperability endpoints

  • Direct secure messaging: tabel33772@mlh.direct-ci.com

Organizations & group practices 6

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": "1458000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552521600000",
    "number": "1437510773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7714 POPLAR AVE STE 200",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381383941",
            "telephone_number": "901-683-0055",
            "fax_number": "901-922-6722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7945 WOLF RIVER BLVD",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381381762",
            "telephone_number": "901-683-0055",
            "fax_number": "901-685-2969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABEL",
        "first_name": "TRACIE",
        "middle_name": "WATKINS",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-15",
        "last_updated": "2019-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "0000020417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, TN

Sources for this page

Verify at the official NPI Registry.