Tracy Jo Caldwell, RN, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

80510 Issued in KS

Practice address

3918 E Elm St Apt 1
Wichita, KS 67208-3478

Phone

(316) 209-1419

NPI assigned

Sep 16, 2021

Last updated

Sep 16, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

South Central Mental Health Counseling Center, IncGroup PAC ID 3375437973, 27 clinicians

Kansas Mental Health Medicine LLCGroup PAC ID 0840532107, 26 clinicians

Iroquois Center for Human Development, Inc.Group PAC ID 2062314081, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

Practice roles

Locations

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.

• Iroquois Center for Human Development, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Greensburg, KS
  • NPI 1922001981
  Medicare reassignment Care Compare group NPD
• Kansas Mental Health Medicine LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wichita, KS
  • NPI 1629535265
  Medicare reassignment Care Compare group NPD
• South Central Mental Health Counseling Center, Inc.

  • Mental Health Counselor
  • El Dorado, KS
  • NPI 1538155882
  Medicare reassignment Care Compare group NPD
• Iroquois Center for Human Development, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Greensburg, KS
  • NPI 1710095435
  NPD
• South Central Mental Health Counseling Center, Inc.

  • Community/Behavioral Health Agency
  • El Dorado, KS
  • NPI 1891561858
  NPD (past)

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

{
    "created_epoch": "1631750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1861162323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3918 E ELM ST APT 1",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672083478",
            "telephone_number": "316-209-1419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3918 E ELM ST APT 1",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672083478",
            "telephone_number": "316-209-1419"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6432 E 34th St N Ste 100",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672262537",
            "country_code": "US",
            "telephone_number": "316-260-8700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALDWELL",
        "first_name": "TRACY",
        "middle_name": "JO",
        "credential": "RN, APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-16",
        "last_updated": "2021-09-16",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KS",
            "license": "80510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamala Kay Calabria, K.M.ED.BCBA
• Cathy Ann Calasanti, L.M.S.W.
• Erik Calderon, M.D.
• Catherine Calderwood
• Tacarra Caldwell, LMSW-T
• Elizabeth Ann Caley, PHARMD
• Daniel Caliendo, MD
• Stephanie Ann Callahan, MSN, RN
• Karen Marie Callanan, D.D.S.
• Jenifer Callaway, OTR

• Psychiatric/Mental Health Nurse Practitioner in Wichita, KS
• Providers in Wichita, KS by specialty
• Psychiatric/Mental Health Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; 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.

Verify at the official NPI Registry.