Active NPI
Tracy Hedine, MSN, APRN, FNP-C
- Family Nurse Practitioner
- Shenandoah, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP137923
- Practice address
- 1120 Medical Plaza Dr
Shenandoah, TX 77380-3242 - Phone
- (281) 528-4100
- Fax
- (281) 528-4099
- NPI assigned
- Jul 6, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP137923 | TX | Primary |
Addresses
Primary practice location
1120 Medical Plaza Dr
Shenandoah, TX 77380-3242
Mailing address
10 Lazy Morning PL
The Woodlands, TX 77381-3213
Phone (281) 939-5345
Other names 1
- Tracy Palmer
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 17TH Ave E
Alexandria, MN 56308-5273
Phone (320) 762-1511
Hospital & facility affiliations
- Alomere Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP137923 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Central Pathology and Laboratory Medicine PA | Current | Accepting new patients | |
| Alomere Health | Current | Accepting new patients | |
| Curana Health of Minnesota PLLC | Current | Accepting new patients | |
| Douglas County Hospital | Current | Accepting new patients | |
| Alomere Health | Current | Accepting new patients | |
| Douglas County Hospital | Past | Accepting new patients |
Locations
5750 Johnston St
Ste 205
Lafayette, LA 70503
Phone (337) 580-3330
111 17th Ave E
Alexandria, MN 56308
Phone (320) 762-1511
5123 W 98th St
Minneapolis, MN 55437
Phone (312) 961-4490
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- thedine856524@direct.centracare.com
Organizations & group practices 7
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.
-
- General Acute Care Hospital
- Alexandria, MN
- NPI 1558236091
-
- Internal Medicine Physician
- Minneapolis, MN
- NPI 1083365084
-
- Internal Medicine Physician
- Minneapolis, MN
- NPI 1841999158
-
- Durable Medical Equipment & Medical Supplies
- Willmar, MN
- NPI 1467318246
-
- General Acute Care Hospital
- Alexandria, MN
- NPI 1164424305
-
- Clinical Medical Laboratory
- Alexandria, MN
- NPI 1811988025
-
- Orthopaedic Surgery Physician
- Alexandria, MN
- NPI 1427342138
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Alexandria, MN
- NPI 1558236091
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723420800000",
"number": "1669968335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 LAZY MORNING PL",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "773813213",
"telephone_number": "281-939-5345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 MEDICAL PLAZA DR",
"city": "SHENANDOAH",
"state": "TX",
"postal_code": "773803242",
"telephone_number": "281-528-4100",
"fax_number": "281-528-4099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEDINE",
"first_name": "TRACY",
"credential": "MSN, APRN, FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-06",
"last_updated": "2024-08-12",
"certification_date": "2024-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP137923",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TRACY",
"last_name": "PALMER",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Shenandoah, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.