Active NPI
Terri Susann Tracy, CRNA
- Certified Registered Nurse Anesthetist
- Joplin, MO
National Provider Identifier
1598735185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 120842
- Practice address
- 1905 W 32ND St
Ste 201
Joplin, MO 64804 - Phone
- (417) 206-7900
- NPI assigned
- Jan 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 120842 | MO | Primary |
Addresses
Primary practice location
1905 W 32ND St
Ste 201
Joplin, MO 64804
Mailing address
PO Box 388
Newton, KS 67114-0388
Phone (316) 281-3700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 80.88 of 100
- Quality
- 77.5
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 120842 | MO | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathology Laboratory Associates, Inc. | Current | Accepting new patients | |
| Regional Medical Laboratory, Inc | Current | Accepting new patients | |
| Ascension Via Christi Hospital Pittsburg, Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| St John's Regional Medical Center | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| St Johns Regional Medical Center | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
1 Mt Carmel Way
Pittsburg, KS 66762
Phone (620) 231-6100
Organizations & group practices 5
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.
-
dba Professional Services
- Internal Medicine Physician
- Pittsburg, KS
- NPI 1760408975
Nurse Anesthetist, Certified Registered
-
- Anatomic Pathology & Clinical Pathology Physician
- Tulsa, OK
- NPI 1750314076
-
- Clinical Medical Laboratory
- Tulsa, OK
- NPI 1497773337
-
dba 21st Century Anesthesia
- Anesthesiology Physician
- Joplin, MO
- NPI 1700032653
Nurse Anesthetist, Certified Registered
-
dba 21st Century Anesthesia
- Anesthesiology Physician
- Joplin, MO
- NPI 1841240546
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305676800000",
"number": "1598735185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 388",
"city": "NEWTON",
"state": "KS",
"postal_code": "671140388",
"telephone_number": "316-281-3700",
"fax_number": "316-282-4322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1905 W 32ND ST",
"address_2": "STE 201",
"city": "JOPLIN",
"state": "MO",
"postal_code": "64804",
"telephone_number": "417-206-7900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRACY",
"first_name": "TERRI",
"middle_name": "SUSANN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-25",
"last_updated": "2011-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MO",
"license": "120842",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Joplin, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.