Individual provider Active NPI

Tracy Lee Edwards, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1568753127
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
CNP-01949 Issued in NM
Practice address
327 N Worth Ave
Indianapolis, IN 46224-8740
Phone
(317) 850-5992
NPI assigned
Apr 29, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X CNP-01949 NM Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 71007338A IN

Addresses

Primary practice location

327 N Worth Ave
Indianapolis, IN 46224-8740

Mailing address

327 N Worth Ave
Indianapolis, IN 46224-8740
Phone (317) 850-5992

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20180220002370 IN Practitioner - Nurse Practitioner 3577795327 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15523MAMDGeneral Practice Dentistry
10282CTMDPhysical Therapist
71007338AINMDPsychiatric/Mental Health Nurse Practitioner
CNP-01949NMMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Oaks Health Inc CurrentSince Feb 7, 2018 Accepting new patients
Valley Oaks Health Inc CurrentSince Feb 7, 2018 Accepting new patients
Telepsych After Hours LLC Current Accepting new patients
Prohealth Physicians PC PastSince Feb 8, 2022 Accepting new patients

Locations

1480 Darlington Ave
Crawfordsville, IN 47933
Phone (765) 362-2852

415 N 26th St
Ste 415
Lafayette, IN 47904

415 N 26th St
Ste 201
Lafayette, IN 47904
Phone (765) 446-6535

610 Main St
Lafayette, IN 47901
Phone (765) 423-2638

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1304035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1568753127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 N WORTH AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462248740",
            "telephone_number": "317-850-5992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 N WORTH AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462248740",
            "telephone_number": "317-850-5992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "TRACY",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-29",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NM",
            "license": "CNP-01949",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "71007338A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.