Individual provider Active NPI

Tracey Elaine Ward

  • Nurse Practitioner
  • New Philadelphia, OH
National Provider Identifier
1801363205
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
.023769 Issued in OH
Practice address
2148 Kevin CT NE
New Philadelphia, OH 44663-9446
Phone
(330) 340-3690
NPI assigned
Oct 24, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X .023769 OH Primary

Addresses

Primary practice location

2148 Kevin CT NE
New Philadelphia, OH 44663-9446

Mailing address

2148 Kevin CT NE
New Philadelphia, OH 44663-9446
Phone (330) 340-3690

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20190305003324 OH Practitioner - Nurse Practitioner 3476892647 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
.023769OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Professional Care, LLC Family Medicine CurrentSince Feb 12, 2019 Accepting new patients

Locations

149 E Simpson St
Alliance, OH 44601
Phone (330) 823-3856

1320 Timken Mercy Dr NW
Canton, OH 44708
Phone (330) 489-1000

1330 Mercy Dr NW
Ste 319
Canton, OH 44708
Phone (330) 580-4706

7337 Caritas Cir NW
Ste 280
Massillon, OH 44646
Phone (330) 458-4180

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1540339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1801363205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2148 KEVIN CT NE",
            "city": "NEW PHILADELPHIA",
            "state": "OH",
            "postal_code": "446639446",
            "telephone_number": "330-340-3690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2148 KEVIN CT NE",
            "city": "NEW PHILADELPHIA",
            "state": "OH",
            "postal_code": "446639446",
            "telephone_number": "330-340-3690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "TRACEY",
        "middle_name": "ELAINE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-24",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": ".023769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Philadelphia, OH

Sources for this page

Verify at the official NPI Registry.