Tracey Lynn Harris, DNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

127981-30 Issued in WI

Practice address

2700 S Wisconsin Ave
Rice Lake, WI 54868-7524

Phone

(715) 403-5880

Fax

(833) 972-1582

NPI assigned

Jun 9, 2016

Last updated

Dec 18, 2024By 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 1

Addresses

Other identifiers 1

Other names 1

• Tracey Lynn Fyksen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Piic Clinical Services

  dba Cedar Ridge Health Center

  • Primary Care Clinic/Center
  • Rice Lake, WI
  • NPI 1326706177
  NPD

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

{
    "created_epoch": "1465430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1447609540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 S WISCONSIN AVE",
            "city": "RICE LAKE",
            "state": "WI",
            "postal_code": "548687524",
            "telephone_number": "715-403-5880",
            "fax_number": "833-972-1582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 S WISCONSIN AVE",
            "city": "RICE LAKE",
            "state": "WI",
            "postal_code": "548687524",
            "telephone_number": "715-403-5880",
            "fax_number": "833-972-1582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "TRACEY",
        "middle_name": "LYNN",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-09",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "127981-30",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AANP CERT",
            "identifier": "F0616090",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACEY",
            "last_name": "FYKSEN",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lorie Ann Haglin, OTR/H
• Ahmed Elsayed Ali Hanafy, MD
• Marie Renee' Hanby, MS
• Taylor Hand
• Debra K. Hanson, LPN
• Kathleen Hartman, PT, DPT
• Jenny A. Hastreiter, PT
• Beverly A Haverly, LCSW
• Healthstat Health Center Rice Lake
• Jaquelyn Healy

• Family Nurse Practitioner in Rice Lake, WI
• Providers in Rice Lake, WI by specialty
• Family Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.