Individual provider Active NPI

Tracy Hedine, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Shenandoah, TX
National Provider Identifier
1669968335
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP137923 Issued in TX
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

Updated by the provider on Aug 12, 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 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 Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MN2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20190208002559 TX Practitioner - Nurse Practitioner 8628316098
I20240826001690 MN Practitioner - Nurse Practitioner 8628316098 Reassigns benefits to 3 organizations

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
Alomere HealthGroup PAC ID 9931690047, 123 clinicians

Practice addresses (Care Compare)

111 17TH Ave E
Alexandria, MN 56308-5273
Phone (320) 762-1511

Hospital & facility affiliations

  • Alomere Health Hospital, Alexandria, MN, CCN 240030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
AP137923TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
West Central Pathology and Laboratory Medicine PA Current Accepting new patients
Alomere Health CurrentSince Jan 1, 2026 Accepting new patients
Curana Health of Minnesota PLLC CurrentSince Aug 14, 2024 Accepting new patients
Douglas County Hospital Current Accepting new patients
Alomere Health CurrentSince Jan 1, 2026 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

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.