Individual provider Active NPI

Tracie Jean Salyer, CNM

  • Advanced Practice Midwife
  • Statesville, NC
National Provider Identifier
1508269150
Registry record updated Feb 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
CNM.19182 Issued in OH
Practice address
1420 Fern Creek Dr
Statesville, NC 28625-9376
Phone
(704) 380-3722
Fax
(704) 380-3723
NPI assigned
Sep 26, 2014
Last updated
Feb 27, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X CNM.19182 OH Primary

Addresses

Primary practice location

1420 Fern Creek Dr
Statesville, NC 28625-9376

Mailing address

3355 Glendale Ave
FL 3
Toledo, OH 43614-2426
Phone (419) 383-7100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210526003056 NC Practitioner - Certified Nurse Midwife (CNM) 3779879093 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Caromont Medical Group IncGroup PAC ID 3577476258, 425 clinicians
Catawba Valley Medical CenterGroup PAC ID 0547178907, 105 clinicians

Practice addresses (Care Compare)

1225 E Garrison Blvd
Gastonia, NC 28054-5115
Phone (704) 865-7416

3070 11TH Ave Dr SE
Hickory, NC 28602-8336
Phone (828) 466-7196

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CNM.19182OHMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Caromont Medical Group, Inc. CurrentSince May 24, 2021 Accepting new patients
Catawba Valley Medical Center CurrentSince Sep 3, 2024 Accepting new patients
Caromont Medical Group Inc Current Accepting new patients
Catawba Valley Medical Center CurrentSince Sep 3, 2024 Accepting new patients
Caromont Medical Group Inc CurrentSince May 24, 2021 Accepting new patients
Catawba Valley Medical Center Past Accepting new patients

Locations

1225 E Garrison Blvd
Gastonia, NC 28054
Phone (704) 865-7416

660 Summit Crossing Pl
Ste 301
Gastonia, NC 28054
Phone (704) 854-8799

3070 11th Avenue Dr SE
Hickory, NC 28602
Phone (828) 466-7196

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1411689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488153600000",
    "number": "1508269150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3355 GLENDALE AVE",
            "address_2": "FL 3",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436142426",
            "telephone_number": "419-383-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 FERN CREEK DR",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286259376",
            "telephone_number": "704-380-3722",
            "fax_number": "704-380-3723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALYER",
        "first_name": "TRACIE",
        "middle_name": "JEAN",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-26",
        "last_updated": "2017-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "OH",
            "license": "CNM.19182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesville, NC

Sources for this page

Verify at the official NPI Registry.