Tracy Lynn Hawse, AGNP LLC
Individual provider Active NPI Adult Health Nurse Practitioner · Westminster, VT
NPI 1760026504 · NPPES record last updated Mar 26, 2026
Key facts
- NPI
- 1760026504
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- 111807-23 (NH)
- Practice address
- 4923 US Route 5
Westminster, VT 05158-9651 - Phone
- (802) 722-4023
- NPI assigned
- Nov 5, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Sojourns Community Clinic Inc
Practice addresses (Care Compare)
4923 US Route 5
Westminster, VT 05158-9651
Phone (802) 722-4023
Hospital & facility affiliations
- Brattleboro Memorial Hospital
- Cheshire Medical Center
- Mt Ascutney Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260501000971 | VT | Practitioner - Nurse Practitioner | 8426526021 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95013954 | CA | MD | Adult Health Nurse Practitioner |
| 11004875 | FL | MD | Adult Health Nurse Practitioner |
| 111807-23 | NH | MD | Adult Health Nurse Practitioner |
| 101-0138767 | VT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tracy Hawse NP LLC | Current | Accepting new patients |
Locations
150 S Auburn St
Grass Valley, CA 95945
Phone (530) 272-0537
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 111807-23 | NH | Yes |
| Adult Health Nurse Practitioner | 363LA2200X | 95013954 | CA | |
| Adult Health Nurse Practitioner | 363LA2200X | 11004875 | FL | |
| Family Nurse Practitioner | 363LF0000X | 101-0138767 | VT |
Addresses
Primary practice location
4923 US Route 5
Westminster, VT 05158-9651
Mailing address
4923 US Route 5
Westminster, VT 05158-9651
Phone (802) 722-4023
Other providers in Westminster, VT
- Shelley L Earley
- Leah Christine Gordon
- Stephanie Green
- Pamela Gross
- Christopher S Hastings
- Martha Hennessy
- Geoffrey Rd Illingworth
- Carolyn A Ingraham
- Beth Lynn Kamhi
- Jessica Kessler
All providers in Westminster, VT · Adult Health Nurse Practitioner in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 26, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.