Individual provider Active NPI

Tracy Brock, APRN

  • Family Nurse Practitioner
  • Marshfield, WI
National Provider Identifier
1801364245
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
8804-33 Issued in WI
Practice address
630 S Central Ave Ste 303
Marshfield, WI 54449-4196
Phone
(715) 898-1298
NPI assigned
Nov 4, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 8804-33 WI Primary

Addresses

Primary practice location

630 S Central Ave Ste 303
Marshfield, WI 54449-4196

Mailing address

630 S Central Ave Ste 303
Marshfield, WI 54449-4196
Phone (715) 898-1298

Other practice location 1

202533 Day Ave
Marshfield, WI 54449-5520
Phone (715) 316-7691

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20181218004033 WI Practitioner - Nurse Practitioner 1254676398 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
8804-33WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Marshfield Clinic Inc CurrentSince Dec 16, 2018 Accepting new patients
Astia Health Clinical Services, SC CurrentSince Dec 28, 2025 Accepting new patients
Astia Health Clinical Services, SC PastSince Sep 25, 2022 Accepting new patients

Locations

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

630 S Central Ave
Ste 303
Marshfield, WI 54449
Phone (715) 898-1298

2727 Plaza Dr
Wausau, WI 54401
Phone (715) 847-3000

Interoperability endpoints

  • Direct secure messaging: tracy.brock.1@32839.direct.athenahealth.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 3

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": "1541289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1801364245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 S CENTRAL AVE STE 303",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544494196",
            "telephone_number": "715-898-1298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 S CENTRAL AVE STE 303",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544494196",
            "telephone_number": "715-898-1298"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "202533 Day Ave",
            "address_purpose": "LOCATION",
            "city": "Marshfield",
            "state": "WI",
            "postal_code": "544495520",
            "country_code": "US",
            "telephone_number": "715-316-7691",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROCK",
        "first_name": "TRACY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-04",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "8804-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshfield, WI

Sources for this page

Verify at the official NPI Registry.