Individual provider Active NPI

Tracy Dillingham, CNP / CNM

  • Family Nurse Practitioner
  • West Chester, OH
National Provider Identifier
1508020777
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.13917 Issued in OH
Practice address
8020 Liberty Way
West Chester, OH 45069-2519
Phone
(513) 463-4300
Fax
(513) 463-4310
NPI assigned
Jul 16, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X COA.13917-NP OH
Advanced Practice Midwife 367A00000X NM-11023 OH
Advanced Practice Midwife 367A00000X COA.10023-NM OH
Family Nurse Practitioner 363LF0000X APRN.CNP.13917 OH Primary

Addresses

Primary practice location

8020 Liberty Way
West Chester, OH 45069-2519

Mailing address

8020 Liberty Way
West Chester, OH 45069-2519
Phone (513) 463-4300

Other practice location 1

2314 Auburn Avenue
Cincinnati, OH 45219
Phone (513) 287-6484

Other identifiers 1

IdentifierTypeStateIssuer
2877963MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20260326002370 OH Practitioner - Nurse Practitioner 1850876939 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trihealth H LLCGroup PAC ID 1850570458, 850 clinicians

Practice addresses (Care Compare)

8020 Liberty Way
Liberty TWP, OH 45069-2519
Phone (513) 246-1760

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife, Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN.CNP.13917OHMDFamily Nurse Practitioner
COA.13917-NPOHMDFamily Nurse Practitioner
COA.10023-NMOHMDAdvanced Practice Midwife
NM-11023OHMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Planned Parenthood Southwest Ohio Region Advanced Practice Midwife PastSince Aug 17, 2025 Accepting new patients
Planned Parenthood Southwest Ohio Region Past Accepting new patients

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1216166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1508020777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8020 LIBERTY WAY",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450692519",
            "telephone_number": "513-463-4300",
            "fax_number": "513-463-4310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8020 LIBERTY WAY",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450692519",
            "telephone_number": "513-463-4300",
            "fax_number": "513-463-4310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2314 Auburn Avenue",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "45219",
            "country_code": "US",
            "telephone_number": "513-287-6484",
            "fax_number": "513-287-6580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DILLINGHAM",
        "first_name": "TRACY",
        "credential": "CNP / CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-16",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.13917-NP",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "OH",
            "license": "NM-11023",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "OH",
            "license": "COA.10023-NM",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.13917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2877963",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, OH

Sources for this page

Verify at the official NPI Registry.