Individual provider Active NPI

Tracy M Rushing, M.D.

  • Pediatrics Physician
  • White Salmon, WA
National Provider Identifier
1447576939
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD61152931 Issued in WA
Practice address
65371 Hwy Wa-14
White Salmon, WA 98672-9867
Phone
(757) 819-3938
NPI assigned
Apr 9, 2010
Last updated
Nov 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Basic Emergency Medical Technician 146N00000X MD162833 OR
Emergency Medicine Physician 207P00000X MD162833 OR
Family Medicine Physician 207Q00000X MD61152931 WA
Student in an Organized Health Care Education/Training Program 390200000X
Pediatrics Physician 208000000X MD61152931 WA Primary

Addresses

Primary practice location

65371 Hwy Wa-14
White Salmon, WA 98672-9867

Mailing address

PO Box 1519
White Salmon, WA 98672-1519

Other practice location 1

3181 SW Sam Jackson Park Road
Ohsu
Portland, OR 97239
Phone (503) 494-8211

Other identifiers 1

IdentifierTypeStateIssuer
2025057MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rushingt@northshore-medical.com MID-COLUMBIA FAMILY PHYSICIANS,P.S.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140226002272 OR Practitioner - Pediatric Medicine 6204081805 Reassigns benefits to 4 organizations
I20210519003139 WA Practitioner - Family Practice 6204081805 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
95 of 100Reported as group
Quality
83.34
Promoting interoperability
100
Improvement activities
40
Cost
100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD162833ORMDEmergency Medicine Physician
MD61152931WAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
One Community Health CurrentSince May 12, 2024 Accepting new patients
One Community Health CurrentSince Oct 15, 2023 Accepting new patients
One Community Health CurrentSince Oct 15, 2023 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Dec 3, 2013 Accepting new patients
Providence Health & Services Oregon Emergency Medicine Current Accepting new patients
Kaiser Foundation Health Plan of the Northwest Emergency Medicine CurrentSince Dec 3, 2013 Accepting new patients
Providence Health & Services Oregon CurrentSince Nov 1, 2015 Accepting new patients
Providence Health & Services Oregon CurrentSince Nov 1, 2015 Accepting new patients

Locations

10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946

810 12th St
Hood River, OR 97031
Phone (541) 386-3911

849 Pacific Ave
Hood River, OR 97031
Phone (541) 386-6380

3181 SW Sam Jackson Park Rd
Portland, OR 97239
Phone (503) 494-5674

2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400

1040 Webber St
The Dalles, OR 97058
Phone (541) 296-4610

875 SW Rock Creek Dr
Stevenson, WA 98648
Phone (509) 427-4212

Organizations & group practices 8

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": "1270771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1447576939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1519",
            "city": "WHITE SALMON",
            "state": "WA",
            "postal_code": "986721519",
            "fax_number": "509-493-9538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65371 HWY WA-14",
            "city": "WHITE SALMON",
            "state": "WA",
            "postal_code": "986729867",
            "telephone_number": "757-819-3938"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3181 SW Sam Jackson Park Road",
            "address_2": "OHSU",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "97239",
            "country_code": "US",
            "telephone_number": "503-494-8211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSHING",
        "first_name": "TRACY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-09",
        "last_updated": "2022-11-07",
        "certification_date": "2021-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "OR",
            "license": "MD162833",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OR",
            "license": "MD162833",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD61152931",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "MD61152931",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2025057",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rushingt@northshore-medical.com",
            "affiliation": "Y",
            "affiliationName": "MID-COLUMBIA FAMILY PHYSICIANS,P.S.",
            "address_1": "65371 Hwy WA-14",
            "city": "White Salmon",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986729867",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in White Salmon, WA

Sources for this page

Verify at the official NPI Registry.