Tracy Killian, NP-C

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

145843 Issued in MO

Practice address

2893 Veterans Memorial Pkwy
Saint Charles, MO 63303-3526

Phone

(636) 336-1401

NPI assigned

Jun 13, 2016

Last updated

Jun 13, 2016By 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

Medicare fee-for-service enrollment

Enrolled in MO

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, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mercy East Ambulatory Services LLCGroup PAC ID 2365739240, 102 clinicians

Practice addresses (Care Compare)

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.

• Mercy East Ambulatory Services LLC

  dba Mercy-GoHealth Urgent Care

  • Urgent Care Clinic/Center
  • Chesterfield, MO
  • NPI 1134673148
  Medicare reassignment Care Compare group NPD
• Our Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Wentzville, MO
  • NPI 1902815863
  Medicare reassignment
• Our Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Maryland Heights, MO
  • NPI 1871819680
  NPD (past)

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

{
    "created_epoch": "1465776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465776000000",
    "number": "1477903284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2666 BABBLE CREEK LN",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633688334",
            "telephone_number": "636-379-0209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2893 VETERANS MEMORIAL PKWY",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633033526",
            "telephone_number": "636-336-1401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILLIAN",
        "first_name": "TRACY",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-13",
        "last_updated": "2016-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MO",
            "license": "145843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Feroz A. Khan, DDS
• Muhammad Atique Alam Khan, M.D.
• Natan Lvovitch Khotianov, MD
• Kathleen H Kidd, CRNA
• Ashley Lauren Kierath, PHARMD
• Alyssa Kim
• Jihyun Kim
• Michael B Kimble, D.M.D.
• Regina Marie Kimbrough
• Felix Kimeu

• Acute Care Nurse Practitioner in Saint Charles, MO
• Providers in Saint Charles, MO by specialty
• Acute Care Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; 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.