Individual provider Active NPI

Tracie Marie Delaney, APRN, FNP-C

  • Family Nurse Practitioner
  • Conroe, TX
National Provider Identifier
1811240765
Registry record updated Oct 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
755739 Issued in TX
Practice address
3251 Interstate 45 N Ste 100
Conroe, TX 77304-2185
Phone
(936) 441-9000
NPI assigned
Oct 16, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2012

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 755739 TX Primary

Addresses

Primary practice location

3251 Interstate 45 N Ste 100
Conroe, TX 77304-2185

Mailing address

25615 Pine Acres Cir
Spring, TX 77380-2276
Phone (713) 805-2282

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20140731001120 TX Practitioner - Nurse Practitioner 0941426720 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Villagemd of Southeast Texas PAGroup PAC ID 4587947346, 217 clinicians

Practice addresses (Care Compare)

8810 Antoine Dr
Houston, TX 77088-1626
Phone (346) 398-7181

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
755739TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Village Family Practice, L.L.P CurrentSince Mar 1, 2022 Accepting new patients
Southlake Doctors Express, PA PSC Current Accepting new patients
Villagemd of Southeast Texas, PA CurrentSince Mar 1, 2022 Accepting new patients
Doctors Express of the Beaumont Area PA CurrentSince Feb 4, 2022 Accepting new patients

Locations

8831 N Highway 146
Baytown, TX 77523
Phone (281) 533-8354

3195 Dowlen Rd
Ste 105
Beaumont, TX 77706
Phone (409) 860-1888

9740 Barker Cypress Rd
Ste 108
Cypress, TX 77433
Phone (281) 463-5200

9055 Katy Fwy
Ste 100
Houston, TX 77024
Phone (346) 646-4954

8810 Antoine Dr
Houston, TX 77088
Phone (346) 398-7181

6445 FM 1463 Rd
Ste 230
Katy, TX 77494
Phone (281) 990-6890

8850 Spencer Hwy
La Porte, TX 77571
Phone (281) 946-9980

6122 Broadway St
#100
Pearland, TX 77581
Phone (346) 398-7252

2315 E Southlake Blvd
Ste 110
Southlake, TX 76092
Phone (817) 488-9922

Interoperability endpoints

  • Direct secure messaging: tracie.delaney.1@13711.direct.athenahealth.com

Organizations & group practices 4

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": "1350345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350345600000",
    "number": "1811240765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25615 PINE ACRES CIR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773802276",
            "telephone_number": "713-805-2282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3251 INTERSTATE 45 N STE 100",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042185",
            "telephone_number": "936-441-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELANEY",
        "first_name": "TRACIE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-16",
        "last_updated": "2012-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "755739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

Verify at the official NPI Registry.