Active NPI
Norine Tracy, M.D.
- Family Medicine Physician
- Fowlerville, MI
National Provider Identifier
1982609202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301060017
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04498516 | Medicaid | MI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Trinity Health Livingston Hospital
- Trinity Health Ann Arbor Hospital
- Edward W Sparrow Hospital
- Trinity Health Oakland Hospital
- McLaren Greater Lansing
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New 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.
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lansing, MI
- NPI 1073588711
Hospital
-
- General Acute Care Hospital
- Lansing, MI
- NPI 1760710719
Hospital
-
- Home Health Agency
- Jackson, MI
- NPI 1588642110
-
- General Acute Care Hospital
- Brighton, MI
- NPI 1093748642
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2021; 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.