Individual provider Active NPI

Tracey L. Corso, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Montgomery, OH
National Provider Identifier
1508679044
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.0038402 Issued in OH
Practice address
6200 Pfeiffer Rd Ste 360
Montgomery, OH 45242-5861
Phone
(513) 862-4957
Fax
(513) 862-4952
NPI assigned
Jan 29, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.0038402 OH Primary

Addresses

Primary practice location

6200 Pfeiffer Rd Ste 360
Montgomery, OH 45242-5861

Mailing address

6200 Pfeiffer Rd Ste 360
Montgomery, OH 45242-5861
Phone (513) 862-4957

Other practice location 1

3219 Clifton Ave Ste 300
Cincinnati, OH 45220-3045
Phone (513) 862-4957

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
I20250314000113 OH Practitioner - Nurse Practitioner 1850813338 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
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)

6200 Pfeiffer Rd
Suite 360
Montgomery, OH 45242-5861
Phone (513) 862-4957

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0038402OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Trihealth H LLC CurrentSince Feb 10, 2025 Accepting new patients

Locations

3219 Clifton Ave
Ste 300
Cincinnati, OH 45220
Phone (513) 751-3668

375 Dixmyth Ave
Cincinnati, OH 45220
Phone (513) 862-2432

375 Dixmyth Ave
Ste 3135
Cincinnati, OH 45220
Phone (513) 862-3452

4685 Forest Ave
Cincinnati, OH 45212
Phone (513) 853-4721

6200 Pfeiffer Rd
Ste 360
Montgomery, OH 45242
Phone (513) 891-1386

Interoperability endpoints

  • Direct secure messaging: tcorso257224@direct.trihealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1738108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1508679044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 PFEIFFER RD STE 360",
            "city": "MONTGOMERY",
            "state": "OH",
            "postal_code": "452425861",
            "telephone_number": "513-862-4957",
            "fax_number": "513-862-4952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 PFEIFFER RD STE 360",
            "city": "MONTGOMERY",
            "state": "OH",
            "postal_code": "452425861",
            "telephone_number": "513-862-4957",
            "fax_number": "513-862-4952"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3219 Clifton Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452203045",
            "country_code": "US",
            "telephone_number": "513-862-4957",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORSO",
        "first_name": "TRACEY",
        "middle_name": "L.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-29",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0038402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, OH

Sources for this page

Verify at the official NPI Registry.