Tracy Lynn Musser, BA

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

3265 Intertech Dr
Angola, IN 46703-7325

Phone

(260) 318-5511

NPI assigned

Mar 20, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

Practice roles

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.

• Northeastern Center Inc

  • Community/Behavioral Health Agency
  • Kendallville, IN
  • NPI 1720140908
  NPD (past)
• Northeastern Center, Inc

  • Psychiatric Hospital
  • Auburn, IN
  • NPI 1689781346
  NPD (past)

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

{
    "created_epoch": "1553040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553040000000",
    "number": "1730649583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3265 INTERTECH DR",
            "city": "ANGOLA",
            "state": "IN",
            "postal_code": "467037325",
            "telephone_number": "260-318-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3265 INTERTECH DR",
            "city": "ANGOLA",
            "state": "IN",
            "postal_code": "467037325",
            "telephone_number": "260-318-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSSER",
        "first_name": "TRACY",
        "middle_name": "LYNN",
        "credential": "BA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-20",
        "last_updated": "2019-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WRAPAROUND",
            "identifier": "171M00000X",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Guy J Moore, D.D.S
• Jennifer Lynn Motz, LCSW
• Nelson Moy, M.D.
• Brent Michael Murphy, MA
• Katherine Murphy, LMHC
• Manasa Musunuri, M.D.
• Peter Maingi Mutiti
• Myeyedr Optometry of Indiana, LLC
• Wajehe Najafi, MD
• Casey Waine Newman, MA, CCC-SLP

• All providers in Angola, IN
• Case Manager/Care Coordinator in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.