Individual provider Active NPI

Tracy Jo Dupaquier, APRN

  • Family Nurse Practitioner
  • Corydon, IN
National Provider Identifier
1891368981
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71012541A Issued in IN
Practice address
313 Federal Dr NW Ste 130
Corydon, IN 47112-3099
Phone
(812) 734-3952
Fax
(812) 734-3954
NPI assigned
Jul 19, 2021
Last updated
Jan 4, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71012541A IN Primary
Family Nurse Practitioner 363LF0000X 3016293 KY

Addresses

Primary practice location

313 Federal Dr NW Ste 130
Corydon, IN 47112-3099

Mailing address

313 Federal Dr NW Ste 130
Corydon, IN 47112-3099
Phone (812) 734-3952

Other identifiers 1

IdentifierTypeStateIssuer
3016293OtherKYMEDICAL LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tracy.dupaquier@bhsi.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20220516000914 IN Practitioner - Nurse Practitioner 9234533860 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

313 Federal Dr NW
Corydon, IN 47112-3070
Phone (812) 542-4921

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
71012541AINMDFamily Nurse Practitioner
3016293KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc Current Accepting new patients
Baptist Health Medical Group Inc CurrentSince May 15, 2022 Accepting new patients
Baptist Health Medical Group Inc CurrentSince May 15, 2022 Accepting new patients

Locations

313 Federal Dr NW
Corydon, IN 47112
Phone (812) 738-4155

313 Federal Dr NW
Ste 130
Corydon, IN 47112
Phone (812) 225-5133

1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196

5200 Commerce Crossings Dr
Fl 3
Louisville, KY 40229
Phone (502) 253-4924

Interoperability endpoints

  • Direct secure messaging: tracy.dupaquier@bhsi.com

Organizations & group practices 3

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.

Hospital & facility affiliations 6

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": "1626652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1891368981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 FEDERAL DR NW STE 130",
            "city": "CORYDON",
            "state": "IN",
            "postal_code": "471123099",
            "telephone_number": "812-734-3952",
            "fax_number": "812-734-3954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 FEDERAL DR NW STE 130",
            "city": "CORYDON",
            "state": "IN",
            "postal_code": "471123099",
            "telephone_number": "812-734-3952",
            "fax_number": "812-734-3954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUPAQUIER",
        "first_name": "TRACY",
        "middle_name": "JO",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-19",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71012541A",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3016293",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "3016293",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tracy.dupaquier@bhsi.com",
            "affiliation": "N",
            "endpointDescription": "Work Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "313 Federal Dr NW Ste 130",
            "city": "Corydon",
            "state": "IN",
            "country_code": "US",
            "postal_code": "471123099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Corydon, IN

Sources for this page

Verify at the official NPI Registry.