Individual provider Active NPI

Tracie Barksdale Hampton, PMHNP, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Martinsville, VA
National Provider Identifier
1841666237
Registry record updated Jun 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024172867 Issued in VA
Practice address
101 Cleveland Ave Ste D
Martinsville, VA 24112-3700
Phone
(763) 363-3262
Fax
(276) 336-3338
NPI assigned
Aug 19, 2015
Last updated
Jun 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024172867 VA Primary

Addresses

Primary practice location

101 Cleveland Ave Ste D
Martinsville, VA 24112-3700

Mailing address

324 T B Stanley Hwy
Bassett, VA 24055-6108
Phone (276) 629-1076

Other practice location 1

287 Commonwealth Blvd W
Martinsville, VA 24112-1820
Phone (276) 632-2966

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20151013000303 NC Practitioner - Nurse Practitioner 3577872639 Reassigns benefits to 4 organizations
I20160208001076 VA Practitioner - Nurse Practitioner 3577872639 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Epic Health Partners LLCGroup PAC ID 4385972611, 6 clinicians

Practice addresses (Care Compare)

101 Cleveland Ave
Suite D
Martinsville, VA 24112-3700
Phone (276) 618-2164

1240 Huffman Mill Rd
Burlington, NC 27215-8700
Phone (336) 538-7000

155 Deer Run Rd
Danville, VA 24540-2863
Phone (434) 835-4601

700 Walter Reed Dr
Greensboro, NC 27403-1128
Phone (336) 832-9600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024172867VAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Moses H. Cone Memorial Hospital Operating Corporation Current Accepting new patients
Piedmont Access to Health Services, Inc CurrentSince Dec 1, 2015 Accepting new patients
Alamance Regional Medical Center, Inc. CurrentSince Dec 7, 2024 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince Feb 3, 2025 Accepting new patients
G.a.P.S. Healthcare PLLC Psychiatric/Mental Health CurrentSince Oct 7, 2021 Accepting new patients
Piedmont Access to Health Services, Inc Current Accepting new patients
Recovery Innovations, Inc CurrentSince Jan 1, 2025 Accepting new patients
Epic Health Partners, LLC CurrentSince Oct 14, 2024 Accepting new patients
Piedmont Access to Health Services, Inc CurrentSince Dec 1, 2015 Accepting new patients
Alamance Regional Medical Center, Inc CurrentSince Dec 7, 2024 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince Feb 3, 2025 Accepting new patients
DLP Wilson Physician Practices LLC Nurse Practitioner CurrentSince Mar 24, 2022 Accepting new patients
DLP Wilson Physician Practices LLC CurrentSince Mar 24, 2022 Accepting new patients
Recovery Innovations, Inc Past Accepting new patients

Locations

11361 N 99th Ave
Ste 402
Peoria, AZ 85345
Phone (602) 636-4379

2701 N 16th St
Ste 316
Phoenix, AZ 85006

1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000

309 Crutchfield St
Durham, NC 27704
Phone (919) 560-7305

1724 Roxie Ave
Fayetteville, NC 28304
Phone (910) 484-1212

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

509 N Elam Ave
Fl 3
Greensboro, NC 27403
Phone (336) 832-1970

700 Walter Reed Dr
Greensboro, NC 27403
Phone (336) 832-9600

2245 Stantonsburg Rd
Ste Op
Greenville, NC 27834
Phone (252) 648-3308

1705 Tarboro St SW
Wilson, NC 27893
Phone (252) 399-8040

2605 Forest Hills Rd SW
Ste A
Wilson, NC 27893
Phone (252) 243-0043

155 Deer Run Rd
Danville, VA 24540
Phone (434) 709-1984

705 Main St
Danville, VA 24541
Phone (434) 791-4122

101 Cleveland Ave
Ste D
Martinsville, VA 24112
Phone (276) 352-4465

287 Commonwealth Blvd W
Martinsville, VA 24112
Phone (276) 632-2966

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654128000000",
    "number": "1841666237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 T B STANLEY HWY",
            "city": "BASSETT",
            "state": "VA",
            "postal_code": "240556108",
            "telephone_number": "276-629-1076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CLEVELAND AVE STE D",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241123700",
            "telephone_number": "763-363-3262",
            "fax_number": "276-336-3338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "287 Commonwealth Blvd W",
            "address_purpose": "LOCATION",
            "city": "Martinsville",
            "state": "VA",
            "postal_code": "241121820",
            "country_code": "US",
            "telephone_number": "276-632-2966",
            "fax_number": "276-632-0841",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMPTON",
        "first_name": "TRACIE",
        "middle_name": "BARKSDALE",
        "credential": "PMHNP, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-19",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024172867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsville, VA

Sources for this page

Verify at the official NPI Registry.