Active NPI
Tracy McKenzie
- Family Nurse Practitioner
- Princeton, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN72764
- Practice address
- 3997 Beckley Rd
Princeton, WV 24740-7660 - Phone
- (304) 431-5499
- Fax
- (304) 431-3400
- NPI assigned
- Aug 5, 2015
- Last updated
- Aug 5, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN72764 | WV | Primary |
| Registered Nurse | 163W00000X | 72764 | WV |
Addresses
Primary practice location
3997 Beckley Rd
Princeton, WV 24740-7660
Mailing address
3997 Beckley Rd
Princeton, WV 24740-7660
Phone (304) 431-5499
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- JC Edwards School of Medicine, Marshall University, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
122 12TH St
Princeton, WV 24740-2312
Phone (304) 487-7936
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.34 of 100
- Quality
- 79.86
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN72764 | WV | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Princeton Community Hospital Assn Inc. | Current | Accepting new patients | |
| West Virginia University Medical Corporation | Current | Accepting new patients | |
| Princeton Community Hospital Assn., Inc | Current | Accepting new patients | |
| West Virginia University Medical Corporation | Current | Accepting new patients | |
| Princeton Community Hospital Assn. Inc. | Past | Accepting new patients | |
| United Physicians Care Inc | Past | Accepting new patients |
Locations
401 E Vermillion St
Athens, WV 24712
Phone (304) 384-7325
16 Sterling Dr
Ste 102
Bridgeport, WV 26330
Phone (681) 342-2133
1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500
122 12th St
Princeton, WV 24740
Phone (304) 487-7061
218 Undercliff Ter
Princeton, WV 24740
Phone (304) 327-1890
Organizations & group practices 6
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.
-
dba Mercer Medical Group
- Urology Physician
- Princeton, WV
- NPI 1093917643
-
dba University Health Associates
- Family Medicine Physician
- Morgantown, WV
- NPI 1275504508
-
dba Crisis Support and Recovery Center
- Community/Behavioral Health Agency
- Martinsburg, WV
- NPI 1174233530
-
dba Bluefield Internal Medicine
- Rural Health Clinic/Center
- Bluefield, VA
- NPI 1235446485
-
dba PCH Behavioral Health Center
- Psychiatric Hospital Unit
- Bluefield, WV
- NPI 1619053329
-
dba Pinewood Medical Center
- Family Medicine Physician
- Grafton, WV
- NPI 1891863874
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Princeton, WV
- NPI 1558313213
-
- General Acute Care Hospital
- Morgantown, WV
- NPI 1841271459
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438732800000",
"number": "1891171401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3997 BECKLEY RD",
"city": "PRINCETON",
"state": "WV",
"postal_code": "247407660",
"telephone_number": "304-431-5499",
"fax_number": "304-431-3400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3997 BECKLEY RD",
"city": "PRINCETON",
"state": "WV",
"postal_code": "247407660",
"telephone_number": "304-431-5499",
"fax_number": "304-431-3400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKENZIE",
"first_name": "TRACY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-05",
"last_updated": "2015-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WV",
"license": "APRN72764",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WV",
"license": "72764",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Princeton, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2015; 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.