Individual provider Active NPI

Traci L Hay, MSN, CNP

  • Family Nurse Practitioner
  • Rapid City, SD
National Provider Identifier
1831271592
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CP000485 Issued in SD
Practice address
1621 Sheridan Lake Rd Ste B
Rapid City, SD 57702-3432
Phone
(605) 716-3742
Fax
(605) 716-3743
NPI assigned
Oct 20, 2006
Last updated
Nov 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X CP000485 SD
Family Nurse Practitioner 363LF0000X CP000485 SD Primary

Addresses

Primary practice location

1621 Sheridan Lake Rd Ste B
Rapid City, SD 57702-3432

Mailing address

1621 Sheridan Lake Rd Ste B
Rapid City, SD 57702-3432
Phone (605) 716-3742

Other identifiers 2

IdentifierTypeStateIssuer
S114087OtherSDMEDICARE
6828985MedicaidSD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
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
I20070124000055 SD Practitioner - Nurse Practitioner 3779584479 Practice locations: Rapid City, SD

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1621 Sheridan Lake Rd
Suite B
Rapid City, SD 57702-3432
Phone (605) 716-3742

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
CP000485SDMDNurse Practitioner

Interoperability endpoints

  • Direct secure messaging: traci.hay@dl-sd.direct.office.nextgen.com

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1831271592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 SHERIDAN LAKE RD STE B",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577023432",
            "telephone_number": "605-716-3742",
            "fax_number": "605-716-3743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 SHERIDAN LAKE RD STE B",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577023432",
            "telephone_number": "605-716-3742",
            "fax_number": "605-716-3743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAY",
        "first_name": "TRACI",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "MSN, CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SD",
            "license": "CP000485",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "CP000485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "S114087",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6828985",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

Verify at the official NPI Registry.