Individual provider Active NPI

Tracy Francis Yager, NP

  • Family Nurse Practitioner
  • Rockville, MD
National Provider Identifier
1689068611
Registry record updated Oct 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AC002632 Issued in MD
Practice address
38 Maryland Avenue
Apartment 421
Rockville, MD 20850
Phone
(804) 874-0650
Fax
(804) 622-0552
NPI assigned
Mar 27, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024172423 VA
Family Nurse Practitioner 363LF0000X 00.01208013 VA
Family Nurse Practitioner 363LF0000X RN1051472 DC
Family Nurse Practitioner 363LF0000X AC002632 MD Primary

Addresses

Primary practice location

38 Maryland Avenue
Apartment 421
Rockville, MD 20850

Mailing address

38 Maryland Avenue
Apartment 421
Rockville, MD 20850
Phone (804) 874-0650

Other names 1

  • Tracy Yager-Jackson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC, MD3 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

Enrollment IDStateProvider typePAC IDDetails
I20150914002931 VA Practitioner - Nurse Practitioner 8426360728 Reassigns benefits to 1 organization
I20190513000014 DC Practitioner - Nurse Practitioner 8426360728 Reassigns benefits to 1 organization
I20200720000079 MD Practitioner - Nurse Practitioner 8426360728 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Asthma and Allergy Center LLCGroup PAC ID 7719909639, 35 clinicians

Practice addresses (Care Compare)

161 Thomas Johnson Dr
Suite 150
Frederick, MD 21702-4314
Phone (301) 662-1244

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00.01208013VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Asthma & Allergy Center LLC CurrentSince Apr 1, 2019 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

3301 New Mexico Ave NW
Ste 223
Washington, DC 20016
Phone (202) 966-7100

1145 19th St NW
Ste 203
Washington, DC 20036
Phone (202) 833-9109

208 Plumtree Rd
Ste B
Bel Air, MD 21015
Phone (410) 638-1999

4201 Northview Dr
Ste 210
Bowie, MD 20716
Phone (301) 833-0001

178 Thomas Johnson Dr
Ste 100
Frederick, MD 21702
Phone (301) 662-1244

161 Thomas Johnson Dr
Ste 150
Frederick, MD 21702
Phone (301) 662-1244

12150 Annapolis Rd
Ste 108
Glenn Dale, MD 20769
Phone (301) 860-1200

7501 Greenway Center Dr
Ste 440
Greenbelt, MD 20770
Phone (301) 220-1333

1150 Omega Dr
Ste 100
Hagerstown, MD 21740
Phone (240) 267-2216

14995 Shady Grove Rd
Ste 100
Rockville, MD 20850
Phone (301) 869-7820

844 Washington Rd
Ste 201
Westminster, MD 21157
Phone (410) 486-2000

144 S 8th St
Ste 110
Chambersburg, PA 17201
Phone (301) 869-7820

2500 Legacy Dr
Ste 200
Frisco, TX 75034

6355 Walker Ln
Ste 307
Alexandria, VA 22310
Phone (703) 778-8201

3801 Fairfax Dr
Ste 31
Arlington, VA 22203
Phone (571) 229-5081

8503 Arlington Blvd
Ste 140
Fairfax, VA 22031
Phone (703) 573-4440

6565 Arlington Blvd
Ste 420
Falls Church, VA 22042
Phone (703) 534-5500

1459 Johnston Willis Dr
North Chesterfield, VA 23235
Phone (804) 794-9477

1830 Town Center Dr
Ste 206
Reston, VA 20190
Phone (703) 437-5151

7702 E Parham Rd
Ste 301
Richmond, VA 23294
Phone (804) 527-1190

4565 Daisy Reid Ave
Ste 120
Woodbridge, VA 22192
Phone (703) 490-5803

Interoperability endpoints

  • Direct secure messaging: tracyyager-jackson@par.allscriptsdirect.net

Organizations & group practices 2

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": "1427414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571788800000",
    "number": "1689068611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 MARYLAND AVENUE",
            "address_2": "APARTMENT 421",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "20850",
            "telephone_number": "804-874-0650",
            "fax_number": "804-622-0552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 MARYLAND AVENUE",
            "address_2": "APARTMENT 421",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "20850",
            "telephone_number": "804-874-0650",
            "fax_number": "804-622-0552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAGER",
        "first_name": "TRACY",
        "middle_name": "FRANCIS",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-27",
        "last_updated": "2019-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024172423",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "00.01208013",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "RN1051472",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "AC002632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACY",
            "last_name": "YAGER-JACKSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.