Jennifer Anne Tracy, PNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

383152 Issued in NY

Practice address

621 10TH St
Niagara Falls, NY 14301-1813

Phone

(716) 278-4000

NPI assigned

Aug 12, 2020

Last updated

Aug 12, 2020By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/3c975af8-28ae-4d97-adec-66228015b5a8/

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.

• Kaleida Health

  dba Buffalo General Hospital

  • General Acute Care Hospital
  • Buffalo, NY
  • NPI 1639209596
  Medicare reassignment NPD
• Niagara Falls Memorial Medical Center

  • Obstetrics & Gynecology Physician
  • Niagara Falls, NY
  • NPI 1982659256
  Medicare reassignment NPD
• Kaleida Health

  dba Golisano Children's Hospital of Buffalo

  • General Acute Care Hospital
  • Buffalo, NY
  • NPI 1245365196
  NPD
• Kaleida Health

  dba Kaleida Health Outpatient Pharmacy

  • Community/Retail Pharmacy
  • Buffalo, NY
  • NPI 1992540546
  NPD
• Niagara Falls Memorial Medical Center

  • Oncology Clinic/Center
  • Niagara Falls, NY
  • NPI 1144842816
  NPD
• University at Buffalo Pathologists, Inc

  • Anatomic Pathology & Clinical Pathology Physician
  • Williamsville, NY
  • NPI 1235155581
  NPD
• Niagara Falls Memorial Medical Center

  • General Acute Care Hospital
  • Niagara Falls, NY
  • NPI 1285717298
  NPD (past)

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

{
    "created_epoch": "1597190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597190400000",
    "number": "1790396877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 HAWTHORNE PL",
            "city": "YOUNGSTOWN",
            "state": "NY",
            "postal_code": "141741324",
            "telephone_number": "716-799-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 10TH ST",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143011813",
            "telephone_number": "716-278-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRACY",
        "first_name": "JENNIFER",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-12",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "383152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jennifertracy1003@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "427 Hawthorne Pl",
            "city": "Youngstown",
            "state": "NY",
            "country_code": "US",
            "postal_code": "141741324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tops Markets LLC (Tops Pharmacy #009)
• Jennifer B Torrellas, CASAC-T
• Town of Niagara
• Corrinne P Tracey
• Brianne Tracy
• Traversify LLC
• Patricia L Treverton, ANP-C
• Trinity Medical Wny PC
• Ajitkumar Tampi Trivikram, MD
• Carmen Maria Trout

• Nurse Practitioner in Niagara Falls, NY
• Providers in Niagara Falls, NY by specialty
• Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.