Individual provider Active NPI

Tracie Ross, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Eugene, OR
National Provider Identifier
1669016093
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
10039235 Issued in OR
Practice address
440 E Broadway Ste 300
Eugene, OR 97401-3352
Phone
(541) 762-0500
NPI assigned
Oct 29, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 10039235 OR Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3018436 KY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP61011870 WA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26517 TN

Addresses

Primary practice location

440 E Broadway Ste 300
Eugene, OR 97401-3352

Mailing address

6451 E Haven Way
Alvaton, KY 42122-8511
Phone (615) 300-8938

Other practice location 1

3810 Central Pike Ste 204
Hermitage, TN 37076-3583
Phone (615) 235-6017

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, TN, MN, AZ4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20200327001458 WA Practitioner - Nurse Practitioner 9830528728 Reassigns benefits to 2 organizations
I20210811003722 TN Practitioner - Nurse Practitioner 9830528728
I20250916003692 MN Practitioner - Nurse Practitioner 9830528728 Reassigns benefits to 1 organization
I20251201002392 AZ Practitioner - Nurse Practitioner 9830528728 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Neurostim TMS Arizona PCGroup PAC ID 7012445240, 3 clinicians
Neurostim TMS, PSGroup PAC ID 1557761608, 11 clinicians

Practice addresses (Care Compare)

1760 E Pecos Rd
Suite 312
Gilbert, AZ 85295-3203
Phone (480) 916-4610

9116 Gravelly Lake Dr SW
Suite 102
Lakewood, WA 98499-3148
Phone (253) 200-5763

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12947MNMDPsychologist
AP61011870WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neurostim TMS Minnesota PC CurrentSince Jun 25, 2025 Accepting new patients
Greater Lakes Mental Health Foundation Inc CurrentSince Mar 10, 2020 Accepting new patients
Neurostim TMS Arizona PC CurrentSince Sep 15, 2025 Accepting new patients
Adams County Public Hospital District 2 Current Accepting new patients
Neurostim TMS, PS CurrentSince May 27, 2021 Accepting new patients

Locations

1760 E Pecos Rd
Ste 312
Gilbert, AZ 85295
Phone (480) 916-4610

6991 E Camelback Rd
Ste D300
Scottsdale, AZ 85251
Phone (480) 386-7030

7760 France Ave S
Ste 902
Bloomington, MN 55435
Phone (888) 963-3467

1240 116th Ave NE
Ste 102
Bellevue, WA 98004
Phone (206) 250-9014

2200 Rimland Dr
Ste 115
Bellingham, WA 98226
Phone (360) 656-4250

125 130th St SE
Ste 204
Everett, WA 98208

3450 S 344th Way
Ste 115
Federal Way, WA 98001
Phone (253) 345-1500

8203 W Quinault Ave
Ste 600
Kennewick, WA 99336

5210 Corporate Center Ct SE
Ste C
Lacey, WA 98503
Phone (360) 208-2765

9125 Bridgeport Way SW
Ste 102
Lakewood, WA 98499
Phone (253) 652-5339

9116 Gravelly Lake Dr SW
Ste 102
Lakewood, WA 98499
Phone (253) 200-5763

450 S Kitsap Blvd
Ste 160
Port Orchard, WA 98366
Phone (360) 616-0543

903 S Adams St
Ritzville, WA 99169
Phone (509) 659-1200

10700 Meridian Ave N
Ste 406
Seattle, WA 98133
Phone (206) 620-1665

546 N Jefferson Ln
Ste 304
Spokane, WA 99201
Phone (350) 986-6002

9330 59th Ave SW
Tacoma, WA 98499
Phone (253) 581-7020

7710 NE Greenwood Dr
Ste 210
Vancouver, WA 98662

Interoperability endpoints

  • Direct secure messaging: neurostimtmscenters.tracieross@152109.advancedmd-direct.com
  • Direct secure messaging: tracie.ross.p1@direct.ritzville.nextgenshare.com
  • Direct secure messaging: neurostimtmsminnesota.tracieross@161927.advancedmd-direct.com
  • Direct secure messaging: tross462755@direct.multicare.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1572307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1669016093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6451 E HAVEN WAY",
            "city": "ALVATON",
            "state": "KY",
            "postal_code": "421228511",
            "telephone_number": "615-300-8938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 E BROADWAY STE 300",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013352",
            "telephone_number": "541-762-0500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3810 Central Pike Ste 204",
            "address_purpose": "LOCATION",
            "city": "Hermitage",
            "state": "TN",
            "postal_code": "370763583",
            "country_code": "US",
            "telephone_number": "615-235-6017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSS",
        "first_name": "TRACIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-29",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "10039235",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3018436",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61011870",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "26517",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.