Individual provider Active NPI

Tracie Ann Holbert, FNP

  • Family Nurse Practitioner
  • Winchester, IL
National Provider Identifier
1639622285
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209014645 Issued in IL
Practice address
231 W Cherry St
Winchester, IL 62694-1027
Phone
(217) 742-3117
NPI assigned
Aug 1, 2016
Last updated
Jun 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209014645 IL Primary

Addresses

Primary practice location

231 W Cherry St
Winchester, IL 62694-1027

Mailing address

231 W Cherry St
Winchester, IL 62694-1027
Phone (618) 920-0282

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20160906001114 IL Practitioner - Nurse Practitioner 8729374582 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quincy Physicians and Surgeons Clinic, PLLCGroup PAC ID 0749192375, shared by 18 NPIs, 231 clinicians

Practice addresses (Care Compare)

231 W Cherry St
Winchester, IL 62694-1027
Phone (217) 742-3117

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.81 of 100Reported as apm
Quality
85.98
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
HSHS Prairie, Inc CurrentSince Apr 10, 2017 Accepting new patients
Thomas H. Boyd Memorial Hospital CurrentSince Aug 3, 2016 Accepting new patients
Jersey Community Hospital Current Accepting new patients
Thomas H. Boyd Memorial Hospital CurrentSince Aug 3, 2016 Accepting new patients
HSHS Medical Group Inc CurrentSince Apr 10, 2017 Accepting new patients
HSHS Prairie, Inc Current Accepting new patients
Thomas H. Boyd Memorial Hospital Past Accepting new patients
Thomas H. Boyd Memorial Hospital Past Accepting new patients

Locations

727 9th St
Carrollton, IL 62016
Phone (217) 942-6612

800 School St
Carrollton, IL 62016
Phone (217) 942-3600

1900 E Lake Shore Dr
Ste 330
Decatur, IL 62521
Phone (217) 423-2889

712 College St
Greenfield, IL 62044
Phone (217) 368-3041

270 Maple Summit Rd
Jerseyville, IL 62052
Phone (618) 498-7108

400 Maple Summit Rd
Jerseyville, IL 62052
Phone (618) 498-6402

132 W Lorton St
Roodhouse, IL 62082
Phone (217) 589-4629

1836 S MacArthur Blvd
Springfield, IL 62704
Phone (217) 789-1403

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/thomash-f0de34dd
  • Direct secure messaging: tracie.holbert@direct.boydrhcs.nextgenshare.com

Organizations & group practices 8

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1470009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782432000000",
    "number": "1639622285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 W CHERRY ST",
            "city": "WINCHESTER",
            "state": "IL",
            "postal_code": "626941027",
            "telephone_number": "618-920-0282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 W CHERRY ST",
            "city": "WINCHESTER",
            "state": "IL",
            "postal_code": "626941027",
            "telephone_number": "217-742-3117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLBERT",
        "first_name": "TRACIE",
        "middle_name": "ANN",
        "name_prefix": "Miss",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-01",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209014645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, IL

Sources for this page

Verify at the official NPI Registry.