NPIMap

Individual provider Active NPI

Tracy Stevens Mathis, APRN

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1942676697
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3009474 Issued in KY
Practice address
2233 Lower Hunters Trce
Louisville, KY 40216-1358
Phone
(502) 357-9211
Fax
(502) 576-7400
NPI assigned
Aug 18, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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 3009474 KY Primary
Nurse Practitioner 363L00000X 3009474 KY

Addresses

Primary practice location

2233 Lower Hunters Trce
Louisville, KY 40216-1358

Mailing address

2233 Lower Hunters Trce
Louisville, KY 40216-1358
Phone (502) 357-9211

Other identifiers 3

IdentifierTypeStateIssuer
201333300 A (KOHMG)MedicaidIN
13609091OtherCAQH
7100380940 (KOHMG)MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151202001615 KY Practitioner - Nurse Practitioner 0345540035 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brooks Family Medical LLCGroup PAC ID 3577911569, 13 clinicians

Practice addresses (Care Compare)

2233 Lower Hunters Trce
Louisville, KY 40216-1358
Phone (502) 357-9211

9503 Norton Commons Blvd
Prospect, KY 40059-7522
Phone (502) 767-8224

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3009474KYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mills Medical Practices, LLC Family CurrentSince Sep 27, 2023 Accepting new patients
Brooks Family Medical LLC Family CurrentSince Feb 1, 2025 Accepting new patients
Abode Care Partners Al VB, LLC Nurse Practitioner CurrentSince Jan 15, 2024 Accepting new patients
Abode Care Partners Al VB, LLC Nurse Practitioner CurrentSince Jan 15, 2024 Accepting new patients
Mills Medical Practices, LLC CurrentSince Sep 27, 2023 Accepting new patients
Clear Ears CurrentSince Dec 22, 2021 Accepting new patients

Locations

9510 Ormsby Station Rd
Ste 100
Louisville, KY 40223
Phone (502) 327-1000

201 Abraham Flexner Way
Ste 1004
Louisville, KY 40202
Phone (502) 583-9565

2529 Six Mile Ln
Louisville, KY 40220
Phone (502) 491-5560

805 N Whittington Pkwy
Northfield, KY 40222
Phone (502) 627-7000

Interoperability endpoints

  • Direct secure messaging: clearearspllc.tracymathis@138620.advancedmd-direct.com

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 and National Provider Directory roles.

Hospital & facility affiliations 28

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1439856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1942676697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2233 LOWER HUNTERS TRCE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402161358",
            "telephone_number": "502-357-9211",
            "fax_number": "502-576-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2233 LOWER HUNTERS TRCE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402161358",
            "telephone_number": "502-357-9211",
            "fax_number": "502-576-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHIS",
        "first_name": "TRACY",
        "middle_name": "STEVENS",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-18",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3009474",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3009474",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201333300 A (KOHMG)",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "13609091",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100380940 (KOHMG)",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.