Tracey Ann Eckenrod, MSN CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP013226 Issued in PA

Practice address

136 Jaycee Dr
Johnstown, PA 15904-3650

Phone

(814) 467-4055

Fax

(814) 467-3783

NPI assigned

Oct 14, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA, FL, TN3 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 3

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Windber Hospital IncGroup PAC ID 9234187576, 37 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Chan Soon- Shiong Medical Center at Windber Hospital, Windber, PA, CCN 390112

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Master of Science - Nursing, Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: crnpeckenrod@bhmedical.medentdirect.com

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.

• Windber Hospital, Inc.

  • Surgery Physician
  • Windber, PA
  • NPI 1376543942

  PA

  Medicare reassignment Care Compare group NPD
• Windber Hospital, Inc.

  • Emergency Medicine Physician
  • Windber, PA
  • NPI 1790999837

  PA

  Medicare reassignment Care Compare group
• Trilogy Wellness, LLC

  • Clinic/Center
  • Lyndora, PA
  • NPI 1891279733

  PA

  Medicare reassignment NPD
• Daniel Funsch Jr, M.D., P.C.

  • Emergency Medicine Physician
  • New York, NY
  • NPI 1316784580

  FL, PA

  Medicare reassignment NPD
• Dr Medical Services PC

  • Multi-Specialty Clinic/Center
  • New York, NY
  • NPI 1053012401

  FL

  Medicare reassignment NPD
• Dr Rebman BH LLC

  • Behavioral Neurology & Neuropsychiatry Physician
  • New York, NY
  • NPI 1114894540

  FL

  Medicare reassignment NPD
• Dr Rebman Medical PA

  • Family Medicine Physician
  • Miami, FL
  • NPI 1669276689

  FL

  Medicare reassignment NPD
• Windber Hospital, Inc

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Windber, PA
  • NPI 1235778135
  Care Compare group NPD
• Alleghenies Independent Physicians PC

  • Family Medicine Physician
  • Johnstown, PA
  • NPI 1871535351

  PA

  Medicare reassignment
• Ivy Medical Group PLLC

  • Emergency Medicine Physician
  • New York, NY
  • NPI 1700558798

  FL, PA, TN

  Medicare reassignment
• Windber Hospital, Inc.

  • Family Medicine Physician
  • Johnstown, PA
  • NPI 1104872936
  Care Compare group NPD (past)
• Windber Hospital, Inc.

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  Care Compare group NPD (past)

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

• Windber Hospital, Inc.

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1381708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536883200000",
    "number": "1679901409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 SCHOOLHOUSE RD STE 201",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159043239",
            "telephone_number": "814-266-5650",
            "fax_number": "814-266-5653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 JAYCEE DR",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159043650",
            "telephone_number": "814-467-4055",
            "fax_number": "814-467-3783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECKENROD",
        "first_name": "TRACEY",
        "middle_name": "ANN",
        "credential": "MSN CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-14",
        "last_updated": "2018-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP013226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ear Nose and Throat Associates of Johnstown, Inc.
• Heidi Beth Earhart, NCC
• East Hills Ambulance, Inc
• Easter Seals Western and Central Pennsylvania
• Jamie Eckenrod, CRNP
• Charlotte Ecklund
• Anusha Edara, M.D
• Edp of Pennsylvania PC
• Bailey Edwards
• John Eger, PT

• All providers in Johnstown, PA
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2018; 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.

Verify at the official NPI Registry.