NPIMap

Individual provider Active NPI

Nathan Daniel Tracey, DO

  • Family Medicine Physician
  • Albuquerque, NM
National Provider Identifier
1770873531
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO2024-0079 Issued in NM
Practice address
8800 Montgomery Blvd NE
Family Medicine
Albuquerque, NM 87111-2310
Phone
(505) 462-6400
Fax
(505) 462-6506
NPI assigned
Apr 13, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 9992A WY
Family Medicine Physician 207Q00000X DO2024-0079 NM Primary

Addresses

Primary practice location

8800 Montgomery Blvd NE
Family Medicine
Albuquerque, NM 87111-2310

Mailing address

PO Box 26666
PHS Provider Enrollment
Albuquerque, NM 87125-6666
Phone (505) 462-6400

Other practice location 1

469 Wy-50
Gillette, WY 82718
Phone (307) 387-9850

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY, NM2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150422001539 WY Practitioner - Family Practice 3476871476 Reassigns benefits to 2 organizations
I20240618003400 NM Practitioner - Family Practice 3476871476 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
West Virginia School of Osteopathic Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Presbyterian Healthcare ServicesGroup PAC ID 9234041708, 1,390 clinicians

Practice addresses (Care Compare)

8800 Montgomery Blvd NE
Albuquerque, NM 87111-2310
Phone (505) 462-6400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.68 of 100Reported as group
Quality
82.35
Promoting interoperability
100
Improvement activities
40
Cost
76.6

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Campbell County Hospital District CurrentSince Feb 2, 2015 Accepting new patients
Campbell County Hospital District Family Medicine Current Accepting new patients
Campbell County Hospital District Current Accepting new patients
Hoskinson Health & Wellness Clinic LLC CurrentSince Oct 3, 2022 Accepting new patients
Campbell County Hospital District CurrentSince Feb 2, 2015 Accepting new patients
Campbell County Hospital District Current Accepting new patients
Hoskinson Health & Wellness Clinic LLC Family Medicine CurrentSince Oct 3, 2022 Accepting new patients
Presbyterian Healthcare Services CurrentSince May 13, 2024 Accepting new patients
Presbyterian Healthcare Services Family Medicine CurrentSince May 13, 2024 Accepting new patients
Presbyterian Healthcare Services Past Accepting new patients

Locations

4588 Paradise Blvd NW
Albuquerque, NM 87114
Phone (505) 923-2070

8800 Montgomery Blvd NE
Albuquerque, NM 87111
Phone (505) 462-6400

2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577

501 S Burma Ave
Gillette, WY 82716
Phone (307) 682-8811

201 W Lakeway Rd
Ste 800
Gillette, WY 82718
Phone (307) 387-9850

501 S Burma Ave
Fl 3
Gillette, WY 82716
Phone (307) 688-3636

469 Wyoming Highway 50
Gillette, WY 82718
Phone (307) 387-9850

508 Stocktrail Ave
Ste A
Gillette, WY 82716
Phone (307) 686-1413

Interoperability endpoints

  • Direct secure messaging: ntracey251318@direct.phs.org
  • FHIR API: https://api.platform.athenahealth.com/26742/brand/1/csg/1/fhir/r4

Organizations & group practices 10

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1302652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1770873531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26666",
            "address_2": "PHS PROVIDER ENROLLMENT",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871256666",
            "telephone_number": "505-462-6400",
            "fax_number": "505-462-6506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8800 MONTGOMERY BLVD NE",
            "address_2": "FAMILY MEDICINE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871112310",
            "telephone_number": "505-462-6400",
            "fax_number": "505-462-6506"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "469 WY-50",
            "address_purpose": "LOCATION",
            "city": "Gillette",
            "state": "WY",
            "postal_code": "82718",
            "country_code": "US",
            "telephone_number": "307-387-9850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRACEY",
        "first_name": "NATHAN",
        "middle_name": "DANIEL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-13",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WY",
            "license": "9992A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "DO2024-0079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.