Individual provider Active NPI

Tracie Elizabeth Jones

  • Nurse Practitioner
  • Hallsville, TX
National Provider Identifier
1962357079
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1228577 Issued in TX
Practice address
515 Willow Rd
Hallsville, TX 75650-6143
Phone
(903) 736-6180
NPI assigned
Mar 3, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1228577 TX Primary

Addresses

Primary practice location

515 Willow Rd
Hallsville, TX 75650-6143

Mailing address

515 Willow Rd
Hallsville, TX 75650-6143
Phone (903) 736-6180

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
I20260417000014 TX Practitioner - Nurse Practitioner 4587607262 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midsouth Homecare PLLCGroup PAC ID 3173051091, 7 clinicians
East Texas Precision Medicine PLLCGroup PAC ID 1658593637, 5 clinicians

Practice addresses (Care Compare)

Texarkana, TX 75503
Phone (430) 200-4350

1600 S Washington Ave
Marshall, TX 75670-6852
Phone (903) 320-3200

Hospital & facility affiliations

  • Christus Good Shepherd Medical Center Hospital, Longview, TX, CCN 450032

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1228577TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
East Texas PHC, LLC Current Accepting new patients
Kindstar, Inc. PastSince Apr 30, 2003 Accepting new patients

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Premier Home CareLongview, TX, CCN 743174 Home health agency Corporate Director
W-2 Managing Employee
Apr 22, 2014
Apr 22, 2014

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1772496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1962357079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 WILLOW RD",
            "city": "HALLSVILLE",
            "state": "TX",
            "postal_code": "756506143",
            "telephone_number": "903-736-6180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 WILLOW RD",
            "city": "HALLSVILLE",
            "state": "TX",
            "postal_code": "756506143",
            "telephone_number": "903-736-6180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "TRACIE",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-03",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1228577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hallsville, TX

Sources for this page

Verify at the official NPI Registry.