Mrs Tracy Lytle Huffstatler, APN, RN, ACNP-BC - Medicare Nurse Practitioner in Deforest, WI

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Mrs Tracy Lytle Huffstatler, APN, RN, ACNP-BC is a medicare enrolled "Nurse Practitioner" in Deforest, Wisconsin. Her current practice location is 4914 Innovation Dr, Deforest, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (901) 552-7885.

Mrs Tracy Lytle Huffstatler is licensed to practice in Wisconsin (license number 13915-33) 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 1538305800.

Contact Information

Mrs Tracy Lytle Huffstatler, APN, RN, ACNP-BC
4914 Innovation Dr,
Deforest, WI 53532-2839
(901) 552-7885
Not Available

Map and Direction




Provider's Profile

Full NameMrs Tracy Lytle Huffstatler
GenderFemale
SpecialityNurse Practitioner
Location4914 Innovation Dr, Deforest, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1538305800
  • Provider Enumeration Date: 12/17/2008
  • Last Update Date: 04/04/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2163588534
  • Enrollment ID: I20220222001106

Medical Identifiers

Medical identifiers for Mrs Tracy Lytle Huffstatler such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538305800NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care 13849 (Tennessee)Secondary
363LA2100XNurse Practitioner - Acute Care 22889 (Wisconsin)Secondary
363L00000XNurse Practitioner 13915-33 (Wisconsin)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. Mrs Tracy Lytle Huffstatler allows following entities to bill medicare on her behalf.
Entity NameCogent Medical Care Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912941238
PECOS PAC ID: 7315836780
Enrollment ID: O20040312001215
Entity NameHospitalist Medicine Physicians Of New York Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205944329
PECOS PAC ID: 5597767129
Enrollment ID: O20070209000383
Entity NameSound Physicians Of New York Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174962245
PECOS PAC ID: 8628202231
Enrollment ID: O20131015001809

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. Mrs Tracy Lytle Huffstatler 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
Mrs Tracy Lytle Huffstatler, APN, RN, ACNP-BC
4914 Innovation Dr,
Deforest, WI 53532-2839

Ph: () -		Mrs Tracy Lytle Huffstatler, APN, RN, ACNP-BC
4914 Innovation Dr,
Deforest, WI 53532-2839

Ph: (901) 552-7885

Reviews and Comments


Nurse Practitioner Nurses in Deforest, WI

Kaylyn Bloyer, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 987 Griffin Way, Deforest, WI 53532
Phone: 608-768-6175    
Catrina Heath, APNP
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Practice Location: 4200 Savannah Dr, Deforest, WI 53532
Phone: 608-417-3300    
Ms. Kathryn Marie Cacic, APNP
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Medicare: Not Enrolled in Medicare
Practice Location: 7752 Clinton Road, Deforest, WI 53532
Phone: 608-846-0614    
Robyn D Knudtson Manske, APNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 488 Dahl Dr, Deforest, WI 53532
Phone: 608-219-6338    
Julie Lederman, CNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 6648 Millstone Cir, Deforest, WI 53532
Phone: 608-842-0630    

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.