Tracy Lynn Johnson, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71000592A Issued in IN

Practice address

6326 Constitution Dr
Fort Wayne, IN 46804-1518

Phone

(260) 515-3275

Fax

(888) 803-6843

NPI assigned

Nov 3, 2006

Last updated

Aug 29, 2025By 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

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, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rounding ProvidersGroup PAC ID 5496947764, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Parkview Whitley Hospital Hospital, Columbia City, IN, CCN 150101
• Parkview Regional Medical Center Hospital, Fort Wayne, IN, CCN 150021
• Pulaski Memorial Hospital Hospital, Winamac, IN, CCN 151305
• Memorial Hospital Hospital, Logansport, IN, CCN 150072
• Parkview Huntington Hospital Hospital, Huntington, IN, CCN 150091

Merit-based Incentive Payment System (MIPS)

Final score

25.03 of 100Reported as individual

Quality

0

Promoting interoperability

0

Improvement activities

0

Cost

83.42

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.

• Rounding Providers

  • Family Nurse Practitioner
  • Fort Wayne, IN
  • NPI 1538486691
  Medicare reassignment Care Compare group NPD
• Great Health Medical in PC

  • Family Medicine Physician
  • Anderson, IN
  • NPI 1588464242
  Medicare reassignment NPD
• Lima Memorial Joint Operating Company

  dba Lima Memorial Health System

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

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

• Huntington Memorial Hospital, Inc.

  dba Parkview Huntington Hospital

  • General Acute Care Hospital
  • Huntington, IN
  • NPI 1003821729
  Care Compare affiliation
• Parkview Hospital, Inc.

  dba Parkview Regional Medical Center

  • General Acute Care Hospital
  • Fort Wayne, IN
  • NPI 1366407603
  Care Compare affiliation
• Parkview Logansport Hospital Inc

  • General Acute Care Hospital
  • Logansport, IN
  • NPI 1356320469
  Care Compare affiliation
• Pulaski Memorial Hospital

  • Critical Access Hospital
  • Winamac, IN
  • NPI 1306928213
  Care Compare affiliation
• Whitley Memorial Hospital, Inc.

  dba Parkview Whitley Hospital

  • General Acute Care Hospital
  • Columbia City, IN
  • NPI 1205844495
  Care Compare affiliation
• Whitley Memorial Hospital, Inc.

  dba Parkview Whitley Hospital

  • Land Ambulance
  • Columbia City, IN
  • NPI 1497764450

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756425600000",
    "number": "1518046002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6326 CONSTITUTION DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468041518",
            "telephone_number": "260-515-3275",
            "fax_number": "888-803-6843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6326 CONSTITUTION DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468041518",
            "telephone_number": "260-515-3275",
            "fax_number": "888-803-6843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TRACY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71000592A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200246760",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shawn Mark Johnson, MD
• Shira Kahliah Johnson
• Stacy L Johnson, NP
• Stephanie Johnson, LPN
• Tori Johnson
• Tyler Guthrie Johnson, DO
• Brad M Johnston, M.D.
• Catherine A Johnston, LCSW ACSW
• Delynn Sue Johnston, RRT
• Heather L Johnston, MSW

• Family Nurse Practitioner in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; 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.