Tracy Lyn Sheely Basballe, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

L571542 Issued in MN

Practice address

1400 Madison Ave Ste 502
Mankato, MN 56001-5467

Phone

(507) 387-2939

Fax

(612) 713-6733

NPI assigned

Mar 18, 2026

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1773792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1609724426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 ROYAL RD",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560018224",
            "telephone_number": "507-387-2939",
            "fax_number": "612-713-6733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 MADISON AVE STE 502",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560015467",
            "telephone_number": "507-387-2939",
            "fax_number": "612-713-6733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEELY BASBALLE",
        "first_name": "TRACY",
        "middle_name": "LYN",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-18",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MN",
            "license": "L571542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Sue Sharpsteen, LICSW
• Juliann Ruth Shattuck
• James Sidney Shaw, D.P.M.
• Leann M Shea, D.C.
• Jessica Laine Sheehy, PA-C
• Sean Sheets
• Aisha Abdifatah Sheikhomar
• Courtney Sowle Shelley, BCBA
• Janice Ree Shelton, PA
• Laura Marie Sherburne, APRN, AGCNS-BC

• Licensed Practical Nurse in Mankato, MN
• Providers in Mankato, MN by specialty
• Licensed Practical Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.