Active NPI
Tracy Diane Lynde, FNP-BC
- Family Nurse Practitioner
- Honolulu, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN-2893
- Practice address
- 550 S Beretania St Ste 403
Honolulu, HI 96813-2496 - Phone
- (808) 686-4770
- NPI assigned
- Oct 8, 2015
- Last updated
- Jun 29, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 | 0024173002 | VA | |
| Family Nurse Practitioner | 363LF0000X | APRN-2893 | HI | Primary |
Addresses
Primary practice location
550 S Beretania St Ste 403
Honolulu, HI 96813-2496
Mailing address
550 S Beretania St Ste 403
Honolulu, HI 96813-2496
Phone (808) 686-4770
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
- 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
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1301 Punchbowl St
Honolulu, HI 96813-2499
1380 Lusitana St
Honolulu, HI 96813-2448
550 S Beretania St
Honolulu, HI 96813-2496
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.05 of 100
- Quality
- 89.81
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN-2893 | HI | MD | Family Nurse Practitioner |
| 0024173002 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radiology Associates, Inc | Current | Accepting new patients | |
| Queens University Medical Group | Current | Accepting new patients | |
| Commonwealth Emergency Physicians PC | Past | Accepting new patients | |
| John J Cogan MD Inc | Past | Accepting new patients |
Locations
1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011
1380 Lusitana St
Ste 1007
Honolulu, HI 96813
Phone (808) 521-2992
1380 Lusitana St
Ste 913
Honolulu, HI 96813
Phone (808) 691-8521
550 S Beretania St
Ste 403
Honolulu, HI 96813
Phone (808) 523-5033
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Honolulu, HI
- NPI 1891441382
-
- Diagnostic Radiology Physician
- Honolulu, HI
- NPI 1205885134
-
- Interventional Cardiology Physician
- Honolulu, HI
- NPI 1396898557
-
- Physician Assistant
- Leesburg, VA
- NPI 1366061574
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Honolulu, HI
- NPI 1184612764
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687996800000",
"number": "1952772519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 S BERETANIA ST STE 403",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968132496",
"telephone_number": "808-686-4770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 S BERETANIA ST STE 403",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968132496",
"telephone_number": "808-686-4770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYNDE",
"first_name": "TRACY",
"middle_name": "DIANE",
"credential": "FNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-10-08",
"last_updated": "2023-06-29",
"certification_date": "2023-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024173002",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "HI",
"license": "APRN-2893",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; 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.