Active NPI
Tracie Ross, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Eugene, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 10039235
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 4
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12947 | MN | MD | Psychologist |
| AP61011870 | WA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurostim TMS Minnesota PC | Current | Accepting new patients | |
| Greater Lakes Mental Health Foundation Inc | Current | Accepting new patients | |
| Neurostim TMS Arizona PC | Current | Accepting new patients | |
| Adams County Public Hospital District 2 | Current | Accepting new patients | |
| Neurostim TMS, PS | Current | 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
- neurostimtmscenters.tracieross@152109.advancedmd-direct.com
- tracie.ross.p1@direct.ritzville.nextgenshare.com
- neurostimtmsminnesota.tracieross@161927.advancedmd-direct.com
- 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.
-
- Psychiatry Physician
- Scottsdale, AZ
- NPI 1750134425
-
- Psychiatry Physician
- Lakewood, WA
- NPI 1710415617
-
- Mental Illness Community Based Residential Treatment Facility
- Lakewood, WA
- NPI 1225039811
-
- Psychiatry Physician
- Minneapolis, MN
- NPI 1649005307
-
- Critical Access Hospital
- Ritzville, WA
- NPI 1992729461
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.