Active NPI
Tracey M. Butler, CRNA
- Certified Registered Nurse Anesthetist
- Youngstown, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN.395377
- Practice address
- 8401 Market St
Youngstown, OH 44512 - Phone
- (330) 729-2929
- NPI assigned
- Apr 9, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 1103844 | TX | |
| Certified Registered Nurse Anesthetist | 367500000X | RN.395377 | OH | Primary |
Addresses
Primary practice location
8401 Market St
Youngstown, OH 44512
Mailing address
4135 Boardman Canfield Rd Ste 101
Canfield, OH 44406-9803
Phone (330) 286-5330
Other practice location 1
1200 7th Ave N
St Petersburg, FL 33705-1300
Phone (727) 825-1486
Other practice location 2
1044 Belmont Ave
Youngstown, OH 44504-1006
Phone (330) 480-3658
Other practice location 3
1720 S Beckham Ave Ste 104
Tyler, TX 75701-4437
Phone (903) 606-3900
Other practice location 4
8389 S Broadway Ave
Tyler, TX 75703-5408
Phone (903) 606-6500
Other practice location 5
910 E Houston St Ste 400
Tyler, TX 75702-8368
Phone (903) 606-5300
Other practice location 6
800 E Dawson St
Tyler, TX 75701-2036
Phone (903) 525-2668
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01356545 | Other | OH | MEDICARE RAILROAD |
| H190010 | Other | OH | MEDICARE PTAN |
| 000000838469 | Other | OH | ANTHEM BCBS |
| 2643812 | Medicaid | OH |
Other names 1
- Tracey M. Focht-Tilton
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, TX
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
800 E Dawson St
Tyler, TX 75701-2036
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1103844 | TX | MD | Physical Therapist |
| RN.395377 | OH | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northstar Anesthesia III PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Mother Frances Hospital Regional Health Care Center | Current | Accepting new patients | |
| Bel-Park Anesthesia Associates, Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Gulfcoast Anesthesia Partners LLP | Past | Accepting new patients | |
| Mother Frances Hospital | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Western Pennsylvania Anesthesia Associates, LTD. | Past | Accepting new patients |
Locations
4135 Boardman Canfield Rd
Ste 101
Canfield, OH 44406
Phone (330) 532-7215
1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182
8401 Market St
Youngstown, OH 44512
Phone (330) 729-2929
3315 S Alameda St
Corpus Christi, TX 78411
Phone (361) 761-1400
1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559
630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888
8389 S Broadway Ave
Tyler, TX 75703
Phone (903) 606-4129
800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018
1720 S Beckham Ave
Ste 104
Tyler, TX 75701
Phone (903) 597-2002
910 E Houston St
Ste 400
Tyler, TX 75702
Phone (903) 531-4268
Organizations & group practices 8
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.
-
dba Christus Mother Frances Hospital Tyler
- General Acute Care Hospital
- Tyler, TX
- NPI 1679578439
-
- Anesthesiology Physician
- Youngstown, OH
- NPI 1508813528
Nurse Anesthetist, Certified Registered
-
dba Christus Trinity Clinic
- Family Medicine Physician
- Tyler, TX
- NPI 1285684225
-
- Anesthesiology Physician
- Corpus Christi, TX
- NPI 1356968952
Nurse Anesthetist, Certified Registered
-
dba Christus Trinity Clinic
- Rural Health Clinic/Center
- Winnsboro, TX
- NPI 1801673165
-
- Anesthesiology Physician
- St Petersburg, FL
- NPI 1144405861
-
- Certified Registered Nurse Anesthetist
- Tyler, TX
- NPI 1629185210
Nurse Anesthetist, Certified Registered
-
- Pain Medicine (Anesthesiology) Physician
- Pittsburgh, PA
- NPI 1386639847
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Christus Mother Frances Hospital Tyler
- General Acute Care Hospital
- Tyler, TX
- NPI 1679578439
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682380800000",
"number": "1821051012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4135 BOARDMAN CANFIELD RD STE 101",
"city": "CANFIELD",
"state": "OH",
"postal_code": "444069803",
"telephone_number": "330-286-5330",
"fax_number": "330-286-5396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8401 MARKET ST",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "44512",
"telephone_number": "330-729-2929"
}
],
"practiceLocations": [
{
"address_1": "1200 7th Ave N",
"address_purpose": "LOCATION",
"city": "St Petersburg",
"state": "FL",
"postal_code": "337051300",
"country_code": "US",
"telephone_number": "727-825-1486",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1044 Belmont Ave",
"address_purpose": "LOCATION",
"city": "Youngstown",
"state": "OH",
"postal_code": "445041006",
"country_code": "US",
"telephone_number": "330-480-3658",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1720 S Beckham Ave Ste 104",
"address_purpose": "LOCATION",
"city": "Tyler",
"state": "TX",
"postal_code": "757014437",
"country_code": "US",
"telephone_number": "903-606-3900",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8389 S Broadway Ave",
"address_purpose": "LOCATION",
"city": "Tyler",
"state": "TX",
"postal_code": "757035408",
"country_code": "US",
"telephone_number": "903-606-6500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "910 E Houston St Ste 400",
"address_purpose": "LOCATION",
"city": "Tyler",
"state": "TX",
"postal_code": "757028368",
"country_code": "US",
"telephone_number": "903-606-5300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "800 E Dawson St",
"address_purpose": "LOCATION",
"city": "Tyler",
"state": "TX",
"postal_code": "757012036",
"country_code": "US",
"telephone_number": "903-525-2668",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUTLER",
"first_name": "TRACEY",
"middle_name": "M.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-09",
"last_updated": "2023-04-25",
"certification_date": "2023-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "1103844",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "RN.395377",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P01356545",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "H190010",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "000000838469",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2643812",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TRACEY",
"last_name": "FOCHT-TILTON",
"middle_name": "M.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Youngstown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.