Individual provider Active NPI

Tracy Camille Walker, FNP-C

  • Family Nurse Practitioner
  • Schertz, TX
National Provider Identifier
1861057721
Registry record updated Apr 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP141554 Issued in TX
Practice address
1264 FM 78
Schertz, TX 78154-2469
Phone
(210) 352-5966
Fax
(210) 332-5198
NPI assigned
May 7, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2023

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 AP141554 TX Primary

Addresses

Primary practice location

1264 FM 78
Schertz, TX 78154-2469

Mailing address

1264 FM 78
Schertz, TX 78154-2469
Phone (210) 352-5966

Other names 1

  • Mrs. Tracy Camille Denton Former name

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
I20200414000516 TX Practitioner - Nurse Practitioner 2365872405 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Methodist Carenow Urgent Care PLLCGroup PAC ID 3274808043, 71 clinicians

Practice addresses (Care Compare)

17122 Bulverde Rd
Suite 104
San Antonio, TX 78247-3211
Phone (210) 783-0170

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP141554TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa of Texas PLLC Current Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Feb 8, 2023 Accepting new patients
Vpa of Texas PLLC CurrentSince Feb 25, 2024 Accepting new patients
Vpa of Texas PLLC CurrentSince Feb 25, 2024 Accepting new patients
Methodist Carenow Urgent Care PLLC CurrentSince Sep 19, 2023 Accepting new patients
Chest Diagnostic Therapeutic SVCS & Transit Nursing of TX, Inc PastSince Mar 1, 2020 Accepting new patients
Tri County Family Medical Care Group LLC PastSince Aug 1, 2020 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4545 Fuller Dr
Ste 325
Irving, TX 75038
Phone (972) 870-5511

20780 US Highway 281 N
San Antonio, TX 78258
Phone (210) 963-8445

17122 Bulverde Rd
Ste 104
San Antonio, TX 78247
Phone (210) 783-0170

Organizations & group practices 7

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": "1557187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681689600000",
    "number": "1861057721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1264 FM 78",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781542469",
            "telephone_number": "210-352-5966",
            "fax_number": "210-332-5198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1264 FM 78",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781542469",
            "telephone_number": "210-352-5966",
            "fax_number": "210-332-5198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "TRACY",
        "middle_name": "CAMILLE",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-07",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP141554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACY",
            "last_name": "DENTON",
            "middle_name": "CAMILLE",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Schertz, TX

Sources for this page

Verify at the official NPI Registry.