Tracy Chan, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP137920 Issued in TX

Practice address

110 Deer Ridge Dr
Round Rock, TX 78681-5514

Phone

(512) 458-8400

Fax

(512) 458-8593

NPI assigned

Jul 19, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Texas Diabetes and Endocrinology, P.a.Group PAC ID 3577459031, 25 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75.33 of 100Reported as group

Quality

65.64

Promoting interoperability

76

Improvement activities

40

Cost

72.13

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Texas Diabetes and Endocrinology, P.a.

  • Endocrinology, Diabetes & Metabolism Physician
  • Austin, TX
  • NPI 1467427419
  Medicare reassignment Care Compare group NPD
• Texas Diabetes and Endocrinology PA

  • Endocrinology, Diabetes & Metabolism Physician
  • Round Rock, TX
  • NPI 1083888523
  NPD

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

{
    "created_epoch": "1531958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531958400000",
    "number": "1962989210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 DEER RIDGE DR",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786815514",
            "telephone_number": "512-458-8400",
            "fax_number": "512-458-8593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 DEER RIDGE DR",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786815514",
            "telephone_number": "512-458-8400",
            "fax_number": "512-458-8593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "TRACY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-19",
        "last_updated": "2018-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP137920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandi Vennessa Chambers
• Brian Chambers
• Terry C Chambless, M.D.,P.A.
• Jeremy Champoux, RN
• Sandra Chan
• Yan Wei Chan
• Montique Chance, LPC
• Chancellor Professional Counseling Services PLLC
• Priya Chandna, RN
• Dena Rachelle Chaney, COTA

• Nurse Practitioner in Round Rock, TX
• Providers in Round Rock, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; 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.

Verify at the official NPI Registry.