Individual provider Active NPI

Tracey Nichols

  • Psychiatric/Mental Health Nurse Practitioner
  • Wichita Falls, TX
National Provider Identifier
1962087734
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1032192 Issued in TX
Practice address
1410 8TH St
Wichita Falls, TX 76301-3105
Phone
(940) 264-8818
NPI assigned
Mar 13, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1032192 TX Primary

Addresses

Primary practice location

1410 8TH St
Wichita Falls, TX 76301-3105

Mailing address

1410 8TH St
Wichita Falls, TX 76301-3105
Phone (940) 264-8818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20210506002743 TX Practitioner - Nurse Practitioner 1456760230 Reassigns benefits to 1 organization

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
North Texas Discover Hope Clinic PLLCGroup PAC ID 8022385285, 4 clinicians

Practice addresses (Care Compare)

1410 8TH St
Wichita Falls, TX 76301-3105
Phone (940) 264-8818

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bryan Wieck MD PA CurrentSince Mar 21, 2021 Accepting new patients
North Texas Discover Hope Clinic PLLC CurrentSince Apr 28, 2021 Accepting new patients

Locations

1410 8th St
Wichita Falls, TX 76301
Phone (940) 264-8818

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1615593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762732800000",
    "number": "1962087734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 8TH ST",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763013105",
            "telephone_number": "940-264-8818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 8TH ST",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763013105",
            "telephone_number": "940-264-8818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "TRACEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-13",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1032192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita Falls, TX

Sources for this page

Verify at the official NPI Registry.