Individual provider Active NPI

Tracie Renee Hall, NP-C

  • Family Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1669928511
Registry record updated Aug 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
21703 Issued in TN
Practice address
1940 Alcoa Hwy Ste E120
Knoxville, TN 37920-2259
Phone
(865) 305-8040
NPI assigned
Aug 31, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2016

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 21703 TN Primary

Addresses

Primary practice location

1940 Alcoa Hwy Ste E120
Knoxville, TN 37920-2259

Mailing address

1940 Alcoa Hwy Ste E120
Knoxville, TN 37920-2259
Phone (865) 305-8040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20161006000838 TN Practitioner - Nurse Practitioner 1759679731 Reassigns benefits to 1 organization

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
University Health System, Inc.Group PAC ID 5294646378, 512 clinicians

Practice addresses (Care Compare)

1130 Middle Creek Rd
Suite 270
Sevierville, TN 37862-2941
Phone (865) 305-8761

1940 Alcoa Hwy
Suite E120
Knoxville, TN 37920-2259
Phone (865) 305-8040

907 E Lamar Alexander Pkwy
Suite 425
Maryville, TN 37804-5015
Phone (865) 305-8040

Merit-based Incentive Payment System (MIPS)

Final score
96.48 of 100Reported as apm
Quality
86.23
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Health System, Inc Family CurrentSince Oct 1, 2016 Accepting new patients
University Health System Inc CurrentSince Oct 1, 2016 Accepting new patients
University Health System, Inc Current Accepting new patients
Knoxville Neurology Specialists, PLLC Past Accepting new patients

Locations

1940 Alcoa Hwy
Ste E120
Knoxville, TN 37920
Phone (865) 305-8040

9000 Executive Park Dr
Ste C200
Knoxville, TN 37923
Phone (865) 670-6142

1940 Alcoa Hwy
Ste E40
Knoxville, TN 37920
Phone (865) 305-5510

907 E Lamar Alexander Pkwy
Ste 425
Maryville, TN 37804
Phone (865) 305-8040

Organizations & group practices 4

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": "1472601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472601600000",
    "number": "1669928511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 ALCOA HWY STE E120",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379202259",
            "telephone_number": "865-305-8040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 ALCOA HWY STE E120",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379202259",
            "telephone_number": "865-305-8040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "TRACIE",
        "middle_name": "RENEE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-31",
        "last_updated": "2016-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "21703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.