TRACY LYNNE MCNEILL (NPI# 1528431632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528431632 |
| Entity Type | Individual |
| Full Name | TRACY LYNNE MCNEILL |
| Credential | RN, MSN, PPCNP-BC |
| Practice Address |
615 N Michigan St Fl 1 South Bend IN 46601-1033 |
| Mailing Address |
710 N Niles Ave South Bend IN 46617-1924 |
| Practice Telephone | 5746473050 |
| Mailing Telephone | 5746471610 |
| Mailing Fax Number | 5742376069 |
| Enumeration Date | 2015-11-11 |
| Last Update Date | 2018-04-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
71007206A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 300012825 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 600 East Blvd, Elkhart, IN 465142483 | 5742942621 | 5745237812 |
| Street Address |
615 N MICHIGAN ST FL 1 |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46601-1033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710937388 | Sunday Osunnuga | Emergency Medicine | 615 N Michigan St Fl 1, South Bend, IN 46601-1033 | 2006-05-12 |
| 1073159174 | Yolanda Kelbel | Nurse Practitioner | 615 N Michigan St Fl 1, South Bend, IN 46601-1033 | 2019-11-23 |
| 1730741687 | Kassi J Brooks | Genetic Counselor, MS | 615 N Michigan St Fl 1, South Bend, IN 46601-1033 | 2019-07-01 |
| 1780192922 | Michelle Mccauley | Nurse Practitioner | 615 N Michigan St Fl 1, South Bend, IN 46601-1033 | 2018-01-22 |
| 1952814113 | Alison Haffner | Registered Nurse | 615 N Michigan St Fl 1, South Bend, IN 46601-1033 | 2017-11-09 |
| 1073048260 | Shelby L Towner | Nurse Practitioner | 615 N Michigan St Fl 1, South Bend, IN 46601-1033 | 2017-04-25 |
| 1518316637 | Ryan D. Enck | Family Medicine | 615 N Michigan St Fl 1, South Bend, IN 46601-1033 | 2016-06-09 |
| 1730547738 | Amy Hertzler Deel | Nurse Practitioner | 615 N Michigan St Fl 1, South Bend, IN 46601 | 2016-02-04 |
| 1194102723 | Patricia C Osmolak | Internal Medicine | 615 N Michigan St Fl 1, South Bend, IN 46601-1033 | 2015-05-04 |
| 1487041042 | Jonathan Vida | Family Medicine | 615 N Michigan St Fl 1, South Bend, IN 46601 | 2015-04-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447610449 | David Thomas | Hearing Instrument Specialist | 808 S Michigan St., South Bend, IN 46601 | 2016-03-03 |
| 1285072454 | Kevin Francis Cumper | Internal Medicine | 621 Memorial Dr Ste 624, South Bend, IN 46601 | 2013-06-11 |
| 1952605560 | Robert Lusk Bonham | Dentist | 1222 L.w.e., So. Bend, IN 46601 | 2010-12-23 |
| 1649580911 | Daniel Scott Debrule | Psychologist | 211 W. Washington Street, Suite 2311, South Bend, IN 46601 | 2010-10-20 |
| 1528390770 | Luke Alfred White | Internal Medicine | 615 N. Michigan St., Memorial Hospital, C/o Erin Smith, South Bend, IN 46601 | 2010-02-12 |
| 1548497837 | Tmg Home Health Care | Home Health | 108 N Main St #305, South Bend, IN 46601 | 2009-06-15 |
| 1225283039 | Jody L. Hughes | Counselor | 202 S. Michigan Street, Suite 875, South Bend, IN 46601 | 2008-11-20 |
| 1740432574 | Amanda Jayne Quicksall | Social Worker | 611 Lincolnway W, South Bend, IN 46601 | 2008-10-10 |
| 1952565772 | Thomas P Judd | Dentist | 1901 #b Western Avenue, Ihc South Bend, South Bend, IN 46601 | 2008-07-10 |
| 1851590269 | Warren Larry Penrod | Nurse Practitioner | 333 W. Western Ave, South Bend, IN 46601 | 2007-07-16 |
| Find all providers in zip 46601 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720460314 | Bryan Lee Stowell | Nurse Practitioner | 211 N Eddy St, South Bend, IN 46617-2808 | 2015-06-19 |
| 1457755787 | Ekomobong E Essien | Nurse Practitioner | 1901 W Western Ave, South Bend, IN 46619-3569 | 2014-10-15 |
| 1669733887 | Christina Marie Cavinder | Nurse Practitioner | 615 N Michigan St, South Bend, IN 46601-1033 | 2012-06-05 |
| 1942560149 | Staci L. Nekic | Nurse Practitioner | 211 N Eddy St, South Bend, IN 46617-2808 | 2012-05-21 |
| 1417923756 | Therese Marie Steinmetz | Nurse Practitioner | 100 Navarre Pl, Suite 4440, South Bend, IN 46601-1156 | 2006-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043822844 | Kelsey M Knight | Nurse Practitioner | 705 Riley Hospital Dr Ste 1601, Indianapolis, IN 46202-5109 | 2020-08-21 |
| 1699306241 | Amber Barney | Nurse Practitioner | 3611 S Lafountain St, Kokomo, IN 46902 | 2020-02-03 |
| 1700420031 | Randi D Bragg | Nurse Practitioner | Marion Pediatrics, 1411w Bella Drive, Marion, IN 46953-5250 | 2019-10-30 |
| 1659923761 | Elizabeth Marie Bowen | Nurse Practitioner | 13914 Southeastern Pkwy Ste 300, Fishers, IN 46037-7126 | 2019-07-10 |
| 1912462664 | Mindy Kay Krsak | Nurse Practitioner | 3229 Broadway Ste 205, Gary, IN 46409-1038 | 2019-02-06 |
| 1497221154 | Christina Ownbey | Nurse Practitioner | 517 Ball Dr Unit 302, Hanover, IN 47243-9656 | 2018-10-22 |
| 1578056842 | Jenna Elizabeth Bednarski | Nurse Practitioner | 3741 Rome Dr Ste B, Lafayette, IN 47905-4490 | 2018-06-12 |
| 1427594696 | Alecia A Woody | Nurse Practitioner | 3400 Lafayette Rd, Suite 200, Shalom Health Care Center Inc, Indianapolis, IN 46222-1146 | 2017-01-12 |
| 1043688211 | Mary Hendrix | Nurse Practitioner | 3118 S Lafountain St # At, Kokomo, IN 46902-3710 | 2015-09-04 |
| 1487022810 | Hannah Renfrow | Nurse Practitioner | 1411 W Bella Drive, Marion, IN 46953 | 2015-09-02 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH BEND |
| Zip Code | 46601 |
Please comment or provide details below to improve the information on TRACY LYNNE MCNEILL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.