Individual provider Active NPI

Tracie L Henson-Combs, FNP

  • Family Nurse Practitioner
  • Boone, NC
National Provider Identifier
1942882477
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5014374 Issued in NC
Practice address
240 Highway 105 Ext Ste 100
Boone, NC 28607-4291
Phone
(828) 264-7311
Fax
(828) 264-7907
NPI assigned
Apr 23, 2021
Last updated
Jan 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 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 COMB-123GX NC
Family Nurse Practitioner 363LF0000X 5014374 NC Primary

Addresses

Primary practice location

240 Highway 105 Ext Ste 100
Boone, NC 28607-4291

Mailing address

PO Box 1490
Boone, NC 28607-0682
Phone (828) 262-3886

Other practice location 1

233 Doctors St
Sparta, NC 28675
Phone (336) 372-5511

Other practice location 2

301 E Meeting St Ste 101
Morganton, NC 28655-3594
Phone (828) 608-0800

Other practice location 3

560 Malcolm Blvd
Connelly Springs, NC 28612-7918
Phone (828) 874-2061

Other practice location 4

110 Dutchman Ct
Elkin, NC 28621-2237
Phone (336) 835-7337

Other practice location 5

448 Cranberry St
Newland, NC 28657-8800
Phone (828) 737-0221

Other practice location 6

935 State Farm Rd
Boone, NC 28607-4948
Phone (828) 262-3886

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20211026002103 NC Practitioner - Nurse Practitioner 3779971668 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
High Country Community HealthGroup PAC ID 8628225190, shared by 10 NPIs, 34 clinicians

Practice addresses (Care Compare)

240 Hwy 105 Ext
Suite 100
Boone, NC 28607-4291
Phone (828) 264-7311

935 State Farm Rd
Boone, NC 28607-4948
Phone (828) 262-3886

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5014374NCMDFamily Nurse Practitioner
COMB-123GXNCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ashe Memorial Hospital Inc CurrentSince Mar 1, 2023 Accepting new patients
High Country Community Health CurrentSince Jan 6, 2025 Accepting new patients
High Country Community Health CurrentSince Jan 6, 2025 Accepting new patients
Ashe Memorial Hospital Inc CurrentSince Mar 1, 2023 Accepting new patients
High Country Community Health Family CurrentSince Apr 19, 2025 Accepting new patients
High Country Community Health Family Past Accepting new patients
Ashe Multispecialty Group, LLC Past Accepting new patients
Cardiology Physicians Corporation, LLC PastSince Apr 1, 2023 Accepting new patients
Alleghany Memorial Hospital Past Accepting new patients

Locations

160 Den-Mac Dr
Boone, NC 28607
Phone (828) 262-3886

240 Highway 105 Ext
Ste 100
Boone, NC 28607
Phone (828) 264-7311

935 State Farm Rd
Boone, NC 28607
Phone (828) 262-3886

560 Malcolm Blvd
Connelly Springs, NC 28612
Phone (828) 437-7702

110 Dutchman Ct
Elkin, NC 28621
Phone (336) 835-5330

301 E Meeting St
Ste 101
Morganton, NC 28655
Phone (828) 608-0800

448 Cranberry St
Newland, NC 28657
Phone (828) 737-0221

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JJJEBD

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1619136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1942882477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1490",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286070682",
            "telephone_number": "828-262-3886",
            "fax_number": "833-665-5329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 HIGHWAY 105 EXT STE 100",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286074291",
            "telephone_number": "828-264-7311",
            "fax_number": "828-264-7907"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "233 Doctors St",
            "address_purpose": "LOCATION",
            "city": "Sparta",
            "state": "NC",
            "postal_code": "28675",
            "country_code": "US",
            "telephone_number": "336-372-5511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 E Meeting St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Morganton",
            "state": "NC",
            "postal_code": "286553594",
            "country_code": "US",
            "telephone_number": "828-608-0800",
            "fax_number": "828-528-5800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "560 Malcolm Blvd",
            "address_purpose": "LOCATION",
            "city": "Connelly Springs",
            "state": "NC",
            "postal_code": "286127918",
            "country_code": "US",
            "telephone_number": "828-874-2061",
            "fax_number": "888-232-8525",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 Dutchman Ct",
            "address_purpose": "LOCATION",
            "city": "Elkin",
            "state": "NC",
            "postal_code": "286212237",
            "country_code": "US",
            "telephone_number": "336-835-7337",
            "fax_number": "336-835-7301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "448 Cranberry St",
            "address_purpose": "LOCATION",
            "city": "Newland",
            "state": "NC",
            "postal_code": "286578800",
            "country_code": "US",
            "telephone_number": "828-737-0221",
            "fax_number": "828-737-0321",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "935 State Farm Rd",
            "address_purpose": "LOCATION",
            "city": "Boone",
            "state": "NC",
            "postal_code": "286074948",
            "country_code": "US",
            "telephone_number": "828-262-3886",
            "fax_number": "828-265-4816",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENSON-COMBS",
        "first_name": "TRACIE",
        "middle_name": "L",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-23",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "COMB-123GX",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5014374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boone, NC

Sources for this page

Verify at the official NPI Registry.