Active NPI
Tracy Ann Cushing, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Richmond Heights, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 2020030799
- Practice address
- 1034 S Brentwood Blvd Ste 1250
Richmond Heights, MO 63117-1263 - Phone
- (314) 328-7958
- NPI assigned
- Mar 11, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2010010163 | MO | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 277002208 | IL | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 2020030799 | MO | Primary |
Addresses
Primary practice location
1034 S Brentwood Blvd Ste 1250
Richmond Heights, MO 63117-1263
Mailing address
331 Sycamore Pointe Dr
Troy, MO 63379-3590
Phone (314) 602-2704
Other practice location 1
400 S Kingshighway Blvd
Dept Emergency Med
Saint Louis, MO 63110-1014
Phone (314) 362-9123
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 424249100 | Medicaid | MO |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Washington University |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, IL, NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
12 N Kingshighway
100 Wound Care
Perryville, MO 63775-1367
Phone (573) 768-3399
1508 Edgemont Blvd
Primary Care/Convenient Care
Perryville, MO 63775-1231
Phone (573) 768-3220
1722 Clarkson Rd
Chesterfield, MO 63017-4976
Phone (636) 206-2665
206 Hospital LN
Perryville, MO 63775-1382
210 Hospital LN
Perryville, MO 63775-4200
210 Hospital LN
Suite 203
Perryville, MO 63775-1276
Phone (573) 768-3285
212 Hospital LN
Perryville, MO 63775-4204
434 N W St
Perryville, MO 63775-1359
Phone (573) 547-2536
4409 Maine St
Quincy, IL 62305-5849
Phone (217) 223-0413
624 Old Saint Marys Rd
Suite a
Perryville, MO 63775-1844
Phone (573) 768-3284
6301 Orchard St
Suite 3
Lincoln, NE 68505-1807
Phone (402) 520-6616
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2010010163 | MO | MD | Family Nurse Practitioner |
| 277002208 | IL | MD | Psychiatric/Mental Health Nurse Practitioner |
| 2020030799 | MO | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nebraska Peace of Mind Behavioral Health | Family | Current | Accepting new patients |
| Transitions of Western Illinois Inc. | Current | Accepting new patients | |
| Mercy East Ambulatory Services LLC | Current | Accepting new patients | |
| Mercy Hospital Perry | Current | Accepting new patients | |
| Southeastern Emergency Services of Memphis, P.C. | Nurse Practitioner | Current | Accepting new patients |
| Mercy Hospital Perry | Current | Accepting new patients | |
| Mercy Hospital Perry | Current | Accepting new patients | |
| Proactive Behavioral Health Solutions, Inc. | Psychiatric/Mental Health | Current | Accepting new patients |
| A Knew You and Wellness LLC | Past | Accepting new patients | |
| BC Missouri Emergency Physicians, LLP | Nurse Practitioner | Past | Accepting new patients |
Locations
1 Memorial Dr
#204
Alton, IL 62002
Phone (618) 526-5699
4409 Maine St
Quincy, IL 62305
Phone (217) 223-0423
1722 Clarkson Rd
Chesterfield, MO 63017
Phone (636) 206-2665
1600 E Broadway
Columbia, MO 65201
Phone (573) 632-5000
1212 Weber Rd
Farmington, MO 63640
Phone (573) 756-3662
1101 W Liberty St
Farmington, MO 63640
Phone (573) 705-1272
1225 Graham Rd
Florissant, MO 63031
Phone (314) 653-5630
409 Lafayette Ctr
Manchester, MO 63011
Phone (636) 707-0764
856 Waterbury Falls Dr
Ste 102
O Fallon, MO 63368
Phone (636) 339-1190
1654 Bryan Rd
O Fallon, MO 63368
Phone (636) 344-0433
434 N West St
Perryville, MO 63775
Phone (573) 547-2530
212 Hospital Ln
Ste 205
Perryville, MO 63775
Phone (573) 547-3116
11133 Dunn Rd
Saint Louis, MO 63136
Phone (314) 653-5000
751 Sappington Bridge Rd
Sullivan, MO 63080
Phone (573) 468-1343
901 Patients First Dr
Ste 1200
Washington, MO 63090
Phone (636) 390-1777
Organizations & group practices 10
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.
-
dba Mercy-GoHealth Urgent Care
- Urgent Care Clinic/Center
- Chesterfield, MO
- NPI 1134673148
-
- Critical Access Hospital
- Perryville, MO
- NPI 1063117158
-
dba NPM Behavioral Health
- Psychiatric/Mental Health Nurse Practitioner
- Lincoln, NE
- NPI 1740910736
Family
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Quincy, IL
- NPI 1194784819
-
- Emergency Medicine Physician
- Chattanooga, TN
- NPI 1164454450
MO, Nurse Practitioner
-
dba Mercy Hospital Perry - RHC I
- Rural Health Clinic/Center
- Perryville, MO
- NPI 1639858855
-
dba Mercy Hospital Perry - RHC III
- Rural Health Clinic/Center
- Perryville, MO
- NPI 1720767940
-
- Psychiatry Physician
- O'Fallon, MO
- NPI 1952137861
Psychiatric/Mental Health
-
- Emergency Medicine Physician
- Sullivan, MO
- NPI 1679598247
Nurse Practitioner
-
- Geriatric Psychiatry Physician
- Bristol, RI
- NPI 1790391365
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740614400000",
"number": "1881917342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "331 SYCAMORE POINTE DR",
"city": "TROY",
"state": "MO",
"postal_code": "633793590",
"telephone_number": "314-602-2704",
"fax_number": "314-747-3338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1034 S BRENTWOOD BLVD STE 1250",
"city": "RICHMOND HEIGHTS",
"state": "MO",
"postal_code": "631171263",
"telephone_number": "314-328-7958"
}
],
"practiceLocations": [
{
"address_1": "400 S Kingshighway Blvd",
"address_2": "Dept Emergency Med",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631101014",
"country_code": "US",
"telephone_number": "314-362-9123",
"fax_number": "314-747-3338",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CUSHING",
"first_name": "TRACY",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "PMHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-11",
"last_updated": "2025-02-27",
"certification_date": "2025-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2010010163",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "IL",
"license": "277002208",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MO",
"license": "2020030799",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "424249100",
"state": "MO"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "Y",
"affiliationName": "Washington University",
"address_1": "400 S Kingshighway Blvd",
"address_2": "Dept Emergency Med",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631101014",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Richmond Heights, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; 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.