Tracy Joan Kinner, N.P.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

71002074A Issued in IN

Practice address

545 S Boehne Camp Rd
Evansville, IN 47712-3703

Phone

(812) 402-1264

Fax

(812) 402-1263

NPI assigned

May 13, 2006

Last updated

Sep 25, 2020By 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 3

Addresses

Other names 1

• Miss Tracy Joan Thornhill Former name

Medicare fee-for-service enrollment

Enrolled in IN

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, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southwestern Behavioral Healthcare IncGroup PAC ID 7315842309, 37 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Deaconess Hospital Inc Hospital, Evansville, IN, CCN 150082

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Southwestern Behavioral Healthcare, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Evansville, IN
  • NPI 1033108766
  Medicare reassignment Care Compare group NPD
• Deaconess Clinic Inc.

  • Internal Medicine Physician
  • Evansville, IN
  • NPI 1619123585

  Nurse Practitioner

  Medicare reassignment NPD
• Deaconess Clinic, Inc

  dba Deaconess Clinic I

  • Family Medicine Physician
  • Evansville, IN
  • NPI 1013274471

  Nurse Practitioner

  NPD
• Southwestern Behavioral Healthcare, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Evansville, IN
  • NPI 1255168126
  NPD
• Deaconess Clinic, Inc

  dba Deaconess Clinic I

  • Rural Health Clinic/Center
  • Petersburg, IN
  • NPI 1831345792

  Nurse Practitioner

  NPD (past)
• Emergency Medicine Physicians of Vanderburgh County, PC

  • Emergency Medicine Physician
  • Evansville, IN
  • NPI 1063451946
  NPD (past)
• Minuteclinic Diagnostics of Indiana, LLC

  • Family Nurse Practitioner
  • Zionsville, IN
  • NPI 1932171634
  NPD (past)

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

• Deaconess Hospital Inc

  dba The Women's Hospital

  • General Acute Care Hospital
  • Newburgh, IN
  • NPI 1780535427
  Care Compare affiliation
• Deaconess Hospital, Inc.

  • General Acute Care Hospital
  • Evansville, IN
  • NPI 1053361642
  Care Compare affiliation

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

{
    "created_epoch": "1147478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600992000000",
    "number": "1467403584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1510",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477061510",
            "telephone_number": "812-450-6815",
            "fax_number": "812-450-6822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 S BOEHNE CAMP RD",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477123703",
            "telephone_number": "812-402-1264",
            "fax_number": "812-402-1263"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4480 1st Ave",
            "address_purpose": "LOCATION",
            "city": "Evansville",
            "state": "IN",
            "postal_code": "477103622",
            "country_code": "US",
            "telephone_number": "812-425-1525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KINNER",
        "first_name": "TRACY",
        "middle_name": "JOAN",
        "name_prefix": "Dr.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-13",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71002074A",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71002074A",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28150240A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACY",
            "last_name": "THORNHILL",
            "middle_name": "JOAN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Martin L Kingsbury, HEARING AID DISPENSE
• Kathleen Estelle Kinkade
• Melody A Kinker, OTR/CHT
• M Jeanette Kinman, NP,C
• Kayla Kinnaird
• Deborah A Kinney, NP.
• Kelsey Kippenbrock
• Brittney A Kirk, NP
• Kelly Margaret Kirk, NP
• Vivian Kirk

• Nurse Practitioner in Evansville, IN
• Providers in Evansville, IN by specialty
• Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2020; 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.