Individual provider Active NPI

Tracy Lynn Margetson, FNP

  • Family Nurse Practitioner
  • Kenosha, WI
National Provider Identifier
1720845860
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
15129-33 Issued in WI
Practice address
4006 Washington Rd
Kenosha, WI 53144-4819
Phone
(262) 771-1700
Fax
(262) 925-3255
NPI assigned
Mar 5, 2024
Last updated
Mar 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 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 15129-33 WI Primary

Addresses

Primary practice location

4006 Washington Rd
Kenosha, WI 53144-4819

Mailing address

11495 Seasons PL Unit 201
Pleasant Prairie, WI 53158-5650
Phone (262) 995-4348

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240422000084 WI Practitioner - Nurse Practitioner 6507205788 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

4006 Washington Rd
Kenosha, WI 53144-4819
Phone (262) 656-0044

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kenosha Community Health Center, Inc. CurrentSince Mar 10, 2024 Accepting new patients
Kenosha Community Health Center, Inc. Current Accepting new patients
Kenosha Community Health Center, Inc CurrentSince Mar 10, 2024 Accepting new patients
Liz Hanson Will, LLC Past Accepting new patients
Kenosha Community Health Center, Inc Past Accepting new patients
Kenosha Community Health Center, Inc Past Accepting new patients

Locations

4006 Washington Rd
Kenosha, WI 53144
Phone (262) 652-4006

4536 22nd Ave
Kenosha, WI 53140
Phone (262) 656-0044

903 S 2nd St
Silver Lake, WI 53170
Phone (262) 656-0044

Interoperability endpoints

  • Direct secure messaging: tmargetson689208@direct.ochin.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1709596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1720845860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11495 SEASONS PL UNIT 201",
            "city": "PLEASANT PRAIRIE",
            "state": "WI",
            "postal_code": "531585650",
            "telephone_number": "262-995-4348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4006 WASHINGTON RD",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531444819",
            "telephone_number": "262-771-1700",
            "fax_number": "262-925-3255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARGETSON",
        "first_name": "TRACY",
        "middle_name": "LYNN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-05",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "15129-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenosha, WI

Sources for this page

Verify at the official NPI Registry.