Active NPI
Tracy Bober, FNP
- Family Nurse Practitioner
- Wheeling, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN64876
- Practice address
- 1 Medical Park
Suite 704
Wheeling, WV 26003 - Phone
- (304) 243-3134
- Fax
- (304) 243-3834
- NPI assigned
- Apr 27, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | COA.16632-NP | OH | |
| Family Nurse Practitioner | 363LF0000X | APRN64876-FNP-BC | WV | |
| Family Nurse Practitioner | 363LF0000X | APRN64876 | WV | Primary |
Addresses
Primary practice location
1 Medical Park
Suite 704
Wheeling, WV 26003
Mailing address
1 Medical Park
Suite 704
Wheeling, WV 26003
Phone (304) 243-3134
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 012655 | Medicaid | OH |
Other names 1
- Tracy Nicole Yonak
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- 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, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Medical Park
Wheeling, WV 26003-6379
Phone (304) 243-3134
Hospital & facility affiliations
- Wheeling Hospital, Inc
- Reynolds Memorial Hospital, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.34 of 100
- Quality
- 79.86
- 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 |
|---|---|---|---|
| COA.16632-NP | OH | MD | Family Nurse Practitioner |
| APRN64876 | WV | MD | Family Nurse Practitioner |
| APRN64876-FNP-BC | WV | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wheeling Hospital Inc | Current | Accepting new patients | |
| Wheeling Hospital, Inc. | Past | Accepting new patients | |
| Wheeling Hospital Inc | Past | Accepting new patients |
Locations
1 Medical Park
Wheeling, WV 26003
Phone (304) 243-3124
1 Medical Park
Ste 704
Wheeling, WV 26003
Phone (304) 243-3134
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Wheeling, WV
- NPI 1548923923
-
- General Acute Care Hospital
- Wheeling, WV
- NPI 1104821305
-
- Anesthesiology Physician
- Wheeling, WV
- NPI 1922282581
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Glen Dale, WV
- NPI 1144228305
-
- General Acute Care Hospital
- Wheeling, WV
- NPI 1104821305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589932800000",
"number": "1962822189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 MEDICAL PARK",
"address_2": "SUITE 704",
"city": "WHEELING",
"state": "WV",
"postal_code": "26003",
"telephone_number": "304-243-3134",
"fax_number": "304-243-3834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEDICAL PARK",
"address_2": "SUITE 704",
"city": "WHEELING",
"state": "WV",
"postal_code": "26003",
"telephone_number": "304-243-3134",
"fax_number": "304-243-3834"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOBER",
"first_name": "TRACY",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-27",
"last_updated": "2020-05-20",
"certification_date": "2020-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "COA.16632-NP",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WV",
"license": "APRN64876-FNP-BC",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WV",
"license": "APRN64876",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "012655",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TRACY",
"last_name": "YONAK",
"middle_name": "NICOLE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Wheeling, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2020; 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.