Active NPI
Tracy Ann Epperson, MD
- Psychiatry Physician
- La Grande, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD208949
- Practice address
- 506 4TH St
La Grande, OR 97850-1906 - Phone
- (541) 963-8421
- Fax
- (541) 962-2596
- NPI assigned
- Jul 10, 2007
- Last updated
- Feb 9, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Psychiatry Physician | 2084P0800X | E-12576 | AR | |
| Psychiatry Physician | 2084P0800X | MD208949 | OR | Primary |
| Case Manager/Care Coordinator | 171M00000X |
Addresses
Primary practice location
506 4TH St
La Grande, OR 97850-1906
Mailing address
506 4TH St
La Grande, OR 97850-1906
Phone (541) 963-8421
Other names 1
- Tracy Kaufman
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, CO, NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- University of Arkansas College of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
102 Gold Ave SW
Suite 548
Albuquerque, NM 87102-3335
Phone (505) 660-8047
501 S Cherry St
Suite 820
Denver, CO 80246-1325
Phone (702) 589-4871
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.1 of 100
- Quality
- 78.73
- Promoting interoperability
- 68
- Improvement activities
- 40
- Cost
- 51.6
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-12576 | AR | MD | Psychiatry Physician |
| MD208949 | OR | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colorado in-Home Counseling | Multi-Specialty | Current | Accepting new patients |
| Grande Ronde Hospital, Inc. | Current | Accepting new patients | |
| Grande Ronde Hospital, Inc. | Multi-Specialty | Current | Accepting new patients |
| Interactionmatters, LLC | Multi-Specialty | Current | Accepting new patients |
Locations
501 S Cherry St
Ste 820
Denver, CO 80246
Phone (303) 884-9682
102 Gold Ave SW
#548
Albuquerque, NM 87102
Phone (505) 660-8047
2200 Paseo Verde Pkwy
Ste 190
Henderson, NV 89052
Phone (702) 483-5061
506 4th St
La Grande, OR 97850
Phone (541) 663-3138
900 Sunset Dr
La Grande, OR 97850
Phone (541) 963-8421
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Denver, CO
- NPI 1093220006
Multi-Specialty
-
dba Grande Ronde Hospital Urgent Care
- Rural Health Clinic/Center
- La Grande, OR
- NPI 1093296519
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707436800000",
"number": "1841498987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "506 4TH ST",
"city": "LA GRANDE",
"state": "OR",
"postal_code": "978501906",
"telephone_number": "541-963-8421",
"fax_number": "541-962-2596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "506 4TH ST",
"city": "LA GRANDE",
"state": "OR",
"postal_code": "978501906",
"telephone_number": "541-963-8421",
"fax_number": "541-962-2596"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EPPERSON",
"first_name": "TRACY",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-10",
"last_updated": "2024-02-09",
"certification_date": "2024-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AR",
"license": "E-12576",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OR",
"license": "MD208949",
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TRACY",
"last_name": "KAUFMAN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in La Grande, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.