Ms Kimberly Lynn Tracy, CPNP - Medicare Nurse Practitioner in Troy, MO

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Ms Kimberly Lynn Tracy, CPNP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Troy, Missouri. Her current practice location is 1177 E Cherry Street, Troy, Missouri. You can reach out to her office (for appointments etc.) via phone at (636) 528-3377.

Ms Kimberly Lynn Tracy is licensed to practice in Missouri (license number 2019018502) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1366002743.

Contact Information

Ms Kimberly Lynn Tracy, CPNP
1177 E Cherry Street,
Troy, MO 63379
(636) 528-3377
(636) 528-3335

Map and Direction




Provider's Profile

Full NameMs Kimberly Lynn Tracy
GenderFemale
SpecialityNurse Practitioner - Pediatrics
Location1177 E Cherry Street, Troy, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1366002743
  • Provider Enumeration Date: 06/18/2019
  • Last Update Date: 06/18/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 1557797685
  • Enrollment ID: I20200207001158

Medical Identifiers

Medical identifiers for Ms Kimberly Lynn Tracy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366002743NPI-NPPES
420078075MedicaidMO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0200XNurse Practitioner - Pediatrics 2019018502 (Missouri)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Kimberly Lynn Tracy allows following entities to bill medicare on her behalf.
Entity NameWashington University
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194765685
PECOS PAC ID: 9830008770
Enrollment ID: O20040607000287
Entity NameMercy Clinic East Communities
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851335228
PECOS PAC ID: 7214827922
Enrollment ID: O20070521000006
Entity NameMercy Clinic East Communities
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043574940
PECOS PAC ID: 7214827922
Enrollment ID: O20070521000058
Entity NameShriners Hospitals for Children
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275970295
PECOS PAC ID: 9133031933
Enrollment ID: O20140527001473
Entity NameMercy Hospital Lincoln
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962808733
PECOS PAC ID: 5193040020
Enrollment ID: O20150623002541
Entity NameWuca-nash Pediatrics LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164882775
PECOS PAC ID: 5193004828
Enrollment ID: O20161121000096

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Kimberly Lynn Tracy is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Kimberly Lynn Tracy, CPNP
1177 E Cherry Street,
Troy, MO 63379

Ph: (636) 528-3377		Ms Kimberly Lynn Tracy, CPNP
1177 E Cherry Street,
Troy, MO 63379

Ph: (636) 528-3377

Reviews and Comments


Nurse Practitioner Nurses in Troy, MO

Sally Ann Breen, DNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1175 E Cherry St, Troy, MO 63379
Phone: 636-528-8686    
Jennifer Bryant,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1165 E Cherry St, Troy, MO 63379
Phone: 636-528-1919    
Mrs. Heather S Dixon, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1000 E Cherry St, Troy, MO 63379
Phone: 636-528-3495    
Julie Irwin, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1000 E Cherry St, Troy, MO 63379
Phone: 636-528-3221    Fax: 636-528-8392
Jessica Danielle Oja Parsons,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 132 Professional Pkwy, Troy, MO 63379
Phone: 636-462-5437    
Malynda Christine Lane, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1000 E Cherry St, Troy, MO 63379
Phone: 636-528-3486    Fax: 636-528-3419
Samantha Elledge, MSN, AGPCNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1000 E Cherry St, Troy, MO 63379
Phone: 636-528-8551    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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