Individual provider Active NPI

Tracey Lynn Downs, FNP-C

  • Family Nurse Practitioner
  • Rome, NY
National Provider Identifier
1669734919
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
337318 Issued in NY
Practice address
1819 Black River Blvd N
Rome, NY 13440-2451
Phone
(315) 338-7184
Fax
(315) 339-1975
NPI assigned
Jun 12, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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 337318 NY Primary

Addresses

Primary practice location

1819 Black River Blvd N
Rome, NY 13440-2451

Mailing address

PO Box 2000
East Syracuse, NY 13057-4500
Phone (315) 362-5129

Other identifiers 1

IdentifierTypeStateIssuer
03504309MedicaidNY

Other names 1

  • Tracey Lynn Piccola Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20120803000557 NY Practitioner - Nurse Practitioner 3971759119 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Generations Family Health NPS PLLCGroup PAC ID 1153820394, 3 clinicians

Practice addresses (Care Compare)

1617 N James St
Suite 700
Rome, NY 13440-2847
Phone (315) 338-2840

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
337318NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Generations Family Health NPS, PLLC Family CurrentSince Jun 8, 2025 Accepting new patients
MVHS Inc CurrentSince Jul 23, 2012 Accepting new patients
MVHS Inc CurrentSince Jul 23, 2012 Accepting new patients

Locations

7980 State Route 12
Barneveld, NY 13304
Phone (315) 624-8440

1656 Champlin Ave
New Hartford, NY 13413
Phone (315) 624-6222

1617 N James St
Ste 700
Rome, NY 13440
Phone (315) 337-0202

2209 Genesee St
Ofc
Utica, NY 13501
Phone (315) 801-3282

1676 Sunset Ave
Utica, NY 13502
Phone (315) 624-5567

Interoperability endpoints

  • Direct secure messaging: tdowns@rmh.medalliesdirect.net
  • Direct secure messaging: tdowns12642@mvhealthsystem.direct-ci.com
  • Direct secure messaging: tdownsfnp@generationshealth.medentdirect.com
  • Direct secure messaging: tbowers@hiemail.healtheconnections.org
  • Direct secure messaging: tdowns@rmhclinics.medentdirect.com

Organizations & group practices 3

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": "1339459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1669734919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2000",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130574500",
            "telephone_number": "315-362-5129",
            "fax_number": "315-362-5179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 BLACK RIVER BLVD N",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134402451",
            "telephone_number": "315-338-7184",
            "fax_number": "315-339-1975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOWNS",
        "first_name": "TRACEY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-12",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "337318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03504309",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACEY",
            "last_name": "PICCOLA",
            "middle_name": "LYNN",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rome, NY

Sources for this page

Verify at the official NPI Registry.