Individual provider Active NPI

Tracy M Martin, APRN

  • Family Nurse Practitioner
  • Covington, KY
National Provider Identifier
1528453404
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3009308 Issued in KY
Practice address
1610 Madison Ave
Covington, KY 41011
Phone
(866) 934-7450
NPI assigned
Mar 30, 2015
Last updated
Oct 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3009308 KY Primary
Family Nurse Practitioner 363LF0000X APRN.CNP.17194 OH

Addresses

Primary practice location

1610 Madison Ave
Covington, KY 41011

Mailing address

4600 Montgomery Rd Ste 400
Cincinnati, OH 45212-2600

Other practice location 1

108 Calhoun St
Cincinnati, OH 45219-1527
Phone (615) 425-4200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150602001679 KY Practitioner - Nurse Practitioner 7113248287 Reassigns benefits to 2 organizations
I20150710001811 OH Practitioner - Nurse Practitioner 7113248287 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brightview LLCGroup PAC ID 9032426044, 117 clinicians

Practice addresses (Care Compare)

4135 Dixie Hwy
Elsmere, KY 41018-1815
Phone (833) 510-4357

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN.CNP.17194OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Spero Health of Ohio, LLC CurrentSince May 21, 2022 Accepting new patients
Brightview, LLC CurrentSince May 1, 2023 Accepting new patients
Brightview LLC CurrentSince May 1, 2023 Accepting new patients
Spero Health of Kentucky, LLC CurrentSince May 13, 2022 Accepting new patients

Locations

830 W Broadway St
Campbellsville, KY 42718
Phone (270) 849-4938

1610 Madison Ave
Covington, KY 41011

106 Belinda Blvd
Ste 100
Danville, KY 40422
Phone (859) 439-0340

4135 Dixie Hwy
Elsmere, KY 41018
Phone (855) 833-4357

3192 Dixie Hwy
Erlanger, KY 41018
Phone (859) 609-1011

1154A Lexington Rd
Georgetown, KY 40324
Phone (502) 868-0008

621 Happy Valley Rd
Glasgow, KY 42141
Phone (270) 606-0261

320 Morton Blvd
Hazard, KY 41701
Phone (606) 487-8383

500 N Green St
Henderson, KY 42420

575 W Main St
Lexington, KY 40507

2645 N Laurel Rd
#A
London, KY 40741

9702 Stonestreet Rd
Ste 120
Louisville, KY 40272
Phone (502) 749-6249

9 E Arch St
Madisonville, KY 42431
Phone (270) 491-3942

106 N 6th St
Murray, KY 42071
Phone (270) 638-0004

506 N Main St
Nicholasville, KY 40356
Phone (859) 887-3712

2202 Martin Luther King Jr Blvd
Paris, KY 40361
Phone (833) 510-5173

3911 N Mayo Trl
Pikeville, KY 41501

30 Medpark Square Dr
Ste 2
Somerset, KY 42503

1493 S Arlington St
Akron, OH 44306
Phone (234) 274-5827

42 N Plaza Blvd
Ste C
Chillicothe, OH 45601
Phone (740) 808-2648

4600 Montgomery Rd
Ste 400
Cincinnati, OH 45212
Phone (513) 873-1269

5966 Boymel Dr
Unit 1
Fairfield, OH 45014
Phone (513) 880-0016

155 Franklin Rd
Ste 430
Brentwood, TN 37027
Phone (615) 265-0359

Organizations & group practices 4

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": "1427673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1528453404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 MONTGOMERY RD STE 400",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452122600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 MADISON AVE",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "41011",
            "telephone_number": "866-934-7450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "108 CALHOUN ST",
            "address_purpose": "LOCATION",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452191527",
            "country_code": "US",
            "telephone_number": "615-425-4200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "TRACY",
        "middle_name": "M",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-30",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3009308",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.17194",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, KY

Sources for this page

Verify at the official NPI Registry.