Individual provider Active NPI

Tracy Tschudi, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Dubuque, IA
National Provider Identifier
1790013209
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
G160754 Issued in IA
Practice address
1690 Elm St Ste 300
Dubuque, IA 52001-3679
Phone
(563) 690-2850
Fax
(563) 582-5335
NPI assigned
Nov 20, 2009
Last updated
Jan 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X G160754 IA Primary
Registered Nurse 163W00000X 112249 IA

Addresses

Primary practice location

1690 Elm St Ste 300
Dubuque, IA 52001-3679

Mailing address

1690 Elm St Ste 300
Dubuque, IA 52001-3679
Phone (563) 690-2850

Other names 1

  • Tracy Ortiz Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20201019000932 IA Practitioner - Nurse Practitioner 1254751910 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Crescent Community Health CenterGroup PAC ID 0345343158, 17 clinicians

Practice addresses (Care Compare)

1690 Elm St
Suite 300
Dubuque, IA 52001-3679
Phone (563) 690-2850

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
112249IAMDMedical Physician Assistant
G160754IAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Crescent Community Health Center CurrentSince May 23, 2023 Accepting new patients

Locations

1690 Elm St
Ste 300
Dubuque, IA 52001
Phone (563) 690-2850

Interoperability endpoints

  • Direct secure messaging: ttschudi637397@direct.ochin.org

Organizations & group practices 1

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": "1258675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1790013209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1690 ELM ST STE 300",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520013679",
            "telephone_number": "563-690-2850",
            "fax_number": "563-582-5335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1690 ELM ST STE 300",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520013679",
            "telephone_number": "563-690-2850",
            "fax_number": "563-582-5335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSCHUDI",
        "first_name": "TRACY",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-20",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G160754",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IA",
            "license": "112249",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACY",
            "last_name": "ORTIZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dubuque, IA

Sources for this page

Verify at the official NPI Registry.