Tracy Kelecava, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

18527 Issued in SC

Practice address

8311 Warren H Abernathy Hwy
Suite 300 Regional Healthplus
Spartanburg, SC 29301-1249

Phone

(864) 560-9696

Fax

(864) 562-5230

NPI assigned

Feb 22, 2014

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

Medicare fee-for-service enrollment

Enrolled in SC

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, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Piedmont Physician Network LLCGroup PAC ID 7911287552, 92 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centerwell Home Health Home health agency, Gaffney, SC, CCN 427117
• Piedmont Medical Center Hospital, Rock Hill, SC, CCN 420002
• Caromont Regional Medical Center Hospital, Gastonia, NC, CCN 340032

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14929/brand/3/csg/1/fhir/r4
• Direct secure messaging: tracy.kelecava.1@14929.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Piedmont Physician Network LLC

  • Internal Medicine Physician
  • York, SC
  • NPI 1194277186
  Medicare reassignment Care Compare group NPD

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

• Amisub of South Carolina, Inc.

  • General Acute Care Hospital
  • Rock Hill, SC
  • NPI 1457382483
  Care Compare affiliation
• Total Care Home Health of North Carolina, LLC

  • Home Health Agency
  • Gaffney, SC
  • NPI 1891724555
  Care Compare affiliation
• Gaston Memorial Hospital, Incorporated

  • General Acute Care Hospital
  • Gastonia, NC
  • NPI 1013918960
  Care Compare affiliation

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

{
    "created_epoch": "1393027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411516800000",
    "number": "1487079877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2168",
            "address_2": "SUITE 300 REGIONAL HEALTHPLUS",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293042168",
            "telephone_number": "864-560-4304",
            "fax_number": "864-560-4413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8311 WARREN H ABERNATHY HWY",
            "address_2": "SUITE 300 REGIONAL HEALTHPLUS",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293011249",
            "telephone_number": "864-560-9696",
            "fax_number": "864-562-5230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELECAVA",
        "first_name": "TRACY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-22",
        "last_updated": "2014-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "SC",
            "license": "18527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP2845",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Keeney
• Brian Curtis Keim, ATC
• Jessica L Keith, DPT
• John Edmond Keith Jr., MD
• Thomas Allen Keith Jr., R.PH
• Elizabeth Kellam, P.A.
• Keller Eye Care, L.L.C.
• Darwin W Keller, M.D.
• Jarrod Ralph Keller, OD
• Valerie Keller

• Adult Health Nurse Practitioner in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• Adult Health Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2014; 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.