Individual provider Active NPI

Tracy Louise Moore Duarte, MSN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Chester, VA
National Provider Identifier
1679145981
Registry record updated Jun 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024182138 Issued in VA
Practice address
1720 E Hundred Rd Ste 101
Chester, VA 23836-3300
Phone
(804) 681-0673
Fax
(804) 681-0675
NPI assigned
Jul 15, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024182138 VA
Nurse Practitioner 363L00000X 5014774 NC
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5014774 NC
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024182138 VA Primary

Addresses

Primary practice location

1720 E Hundred Rd Ste 101
Chester, VA 23836-3300

Mailing address

PO Box 2998
Chester, VA 23831-8455
Phone (804) 330-8101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NC2 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
I20210923001717 VA Practitioner - Nurse Practitioner 5991102535 Reassigns benefits to 2 organizations
I20211012000888 NC Practitioner - Nurse Practitioner 5991102535 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Virginia Commonwealth University, School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pmhealth Solutions, PLLCGroup PAC ID 0547632911, 2 clinicians
Morcom Medical Consultants, PLLCGroup PAC ID 4981773884, 4 clinicians

Practice addresses (Care Compare)

1720 E Hundred Rd
Suite 101
Chester, VA 23836-3300
Phone (804) 681-0673

235 Jenkins Rd
Dover, NC 28526-9399
Phone (252) 521-0030

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
91.23
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5014774NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Morcom Medical Consultants, PLLC CurrentSince Oct 5, 2021 Accepting new patients
Thrive Counseling LLC CurrentSince Oct 28, 2021 Accepting new patients
Pmhealth Solutions, PLLC Psychiatric/Mental Health CurrentSince Dec 15, 2022 Accepting new patients

Locations

1720 E Hundred Rd
Ste 101
Chester, VA 23836
Phone (804) 681-0673

2801 McRae Rd
Ste 2B
North Chesterfield, VA 23235
Phone (804) 330-3101

5310 Markel Rd
Ste 102
Richmond, VA 23230
Phone (804) 312-5498

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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": "1626307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717718400000",
    "number": "1679145981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2998",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238318455",
            "telephone_number": "804-330-8101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 E HUNDRED RD STE 101",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238363300",
            "telephone_number": "804-681-0673",
            "fax_number": "804-681-0675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE DUARTE",
        "first_name": "TRACY",
        "middle_name": "LOUISE",
        "credential": "MSN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-15",
        "last_updated": "2024-06-07",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024182138",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5014774",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5014774",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024182138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester, VA

Sources for this page

Verify at the official NPI Registry.