Individual provider Active NPI

Norine Tracy, M.D.

  • Family Medicine Physician
  • Fowlerville, MI
National Provider Identifier
1982609202
Registry record updated Jul 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301060017 Issued in MI
Practice address
202 E Van Riper Rd
Suite 100
Fowlerville, MI 48836-7947
Phone
(517) 223-7900
Fax
(517) 223-7635
NPI assigned
Jun 14, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301060017 MI Primary

Addresses

Primary practice location

202 E Van Riper Rd
Suite 100
Fowlerville, MI 48836-7947

Mailing address

202 E Van Riper Rd
Suite 100
Fowlerville, MI 48836-7947
Phone (517) 223-7900

Other identifiers 1

IdentifierTypeStateIssuer
04498516MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ntracy@fmc.drchronodirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050824000369 MI Practitioner - Family Practice 4880644681 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Human Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

202 E Van Riper Rd
Suite 100
Fowlerville, MI 48836-7947
Phone (517) 223-7900

Hospital & facility affiliations

  • Elara Caring Home health agency, Jackson, MI, CCN 237274
  • Trinity Health Livingston Hospital Hospital, Howell, MI, CCN 230069
  • Trinity Health Ann Arbor Hospital Hospital, Ann Arbor, MI, CCN 230156
  • Edward W Sparrow Hospital Hospital, Lansing, MI, CCN 230230
  • Trinity Health Oakland Hospital Hospital, Pontiac, MI, CCN 230029
  • McLaren Greater Lansing Hospital, Lansing, MI, CCN 230167

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients

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.

Hospital & facility affiliations 7

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": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625788800000",
    "number": "1982609202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 E VAN RIPER RD",
            "address_2": "SUITE 100",
            "city": "FOWLERVILLE",
            "state": "MI",
            "postal_code": "488367947",
            "telephone_number": "517-223-7900",
            "fax_number": "517-223-7635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 E VAN RIPER RD",
            "address_2": "SUITE 100",
            "city": "FOWLERVILLE",
            "state": "MI",
            "postal_code": "488367947",
            "telephone_number": "517-223-7900",
            "fax_number": "517-223-7635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRACY",
        "first_name": "NORINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-14",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301060017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04498516",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ntracy@fmc.drchronodirect.com",
            "affiliation": "N",
            "address_1": "202 E Van Riper Rd",
            "address_2": "SUITE 100",
            "city": "Fowlerville",
            "state": "MI",
            "country_code": "US",
            "postal_code": "488367947",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fowlerville, MI

Sources for this page

Verify at the official NPI Registry.