Individual provider Active NPI

Tracy Ann Everman, NP

  • Family Nurse Practitioner
  • Martinsville, IN
National Provider Identifier
1932497732
Registry record updated Dec 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71003659A Issued in IN
Practice address
1949 Hospital Dr
Martinsville, IN 46151-1861
Phone
(765) 349-6729
Fax
(765) 349-9935
NPI assigned
Jul 13, 2011
Last updated
Dec 4, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2020

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 71003659A IN Primary

Addresses

Primary practice location

1949 Hospital Dr
Martinsville, IN 46151-1861

Mailing address

1949 Hospital Dr
Martinsville, IN 46151-1861
Phone (765) 349-6729

Other names 1

  • Tracy Guy Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address TGUY1@direct.iuhealth.org

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
I20111220000751 IN Practitioner - Nurse Practitioner 3678749728 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Iu Health Medical Group LLCGroup PAC ID 9638617913, 4,382 clinicians

Practice addresses (Care Compare)

1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258

2209 John R Wooden Dr
Indiana University So in Phy Inc
Martinsville, IN 46151-1840
Phone (888) 484-3258

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana University Health Southern Indiana Physicians, LLC CurrentSince Dec 1, 2020 Accepting new patients
Indiana University Health Southern Indiana Physicians LLC CurrentSince Dec 1, 2020 Accepting new patients
Iu Health Medical Group, LLC Family CurrentSince Jan 1, 2026 Accepting new patients
Iu Health Morgan Physicians, LLC Family CurrentSince Jan 1, 2013 Accepting new patients
Morgan Physician Specialists, LLC Past Accepting new patients

Locations

2738 Solution Ctr
Chicago, IL 60677

727 W 2nd St
Bloomington, IN 47403
Phone (812) 353-3450

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

1949 Hospital Dr
Martinsville, IN 46151
Phone (765) 342-8383

2209 John R Wooden Dr
Martinsville, IN 46151
Phone (765) 342-3364

Interoperability endpoints

  • Direct secure messaging: tguy1@direct.iuhealth.org

Organizations & group practices 5

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 3

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": "1310515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607040000000",
    "number": "1932497732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1949 HOSPITAL DR",
            "city": "MARTINSVILLE",
            "state": "IN",
            "postal_code": "461511861",
            "telephone_number": "765-349-6729",
            "fax_number": "765-349-9935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1949 HOSPITAL DR",
            "city": "MARTINSVILLE",
            "state": "IN",
            "postal_code": "461511861",
            "telephone_number": "765-349-6729",
            "fax_number": "765-349-9935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVERMAN",
        "first_name": "TRACY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-13",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71003659A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "TGUY1@direct.iuhealth.org",
            "affiliation": "N",
            "address_1": "1949 Hospital Dr",
            "city": "Martinsville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461511861",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TRACY",
            "last_name": "GUY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Martinsville, IN

Sources for this page

Verify at the official NPI Registry.