TRACEY LINN WILSON (NPI# 1720507759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720507759 |
| Entity Type | Individual |
| Full Name | TRACEY LINN WILSON |
| Practice Address |
300 Shelton Street Chadron NE 69337 |
| Mailing Address |
300 Shelton St Chadron NE 69337-2312 |
| Practice Telephone | (308) 747-2408 |
| Practice Fax Number | 3084325092 |
| Mailing Telephone | 3087472408 |
| Mailing Fax Number | 3084325092 |
| Enumeration Date | 2017-09-11 |
| Last Update Date | 2017-09-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538671359 | Tracey Wilson | Nursing Home Administrator | 639 S Gregory St, San Diego, CA 92113-2617 | 2017-11-02 |
| 1750999728 | Tracey Wilson | Counselor | 404 Independence Blvd, Sicklerville, NJ 08081-1094 | 2020-07-16 |
| 1013576669 | Tracey Wilson | Behavioral Analyst | 12010 Linwood St, Detroit, MI 48206-1108 | 2019-06-07 |
| 1932693728 | Tracey Kersten Wilson | Nurse Anesthetist, Certified Registered | 1514 Jefferson Hwy, New Orleans, LA 70121-2429 | 2018-06-15 |
| 1205149358 | Tracey B Wilson | Pharmacist | 675 Woodbury Glassboro Rd, Sewell, NJ 08080-3733 | 2010-07-19 |
| 1487828885 | Tracey Wilson | Nurse Practitioner | 29 S Greene St, Baltimore, MD 21201-1504 | 2008-04-16 |
| 1902856735 | Tracey S Wilson | Urology | 619 19th St S, Birmingham, AL 35249-1900 | 2006-05-11 |
| Street Address |
300 SHELTON STREET |
| City | CHADRON |
| State | NE |
| Zip Code | 69337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962668491 | Mental Health Care Assoc | Counselor | 343 Chadron Ave, Chadron, NE 69337 | 2008-08-04 |
| 1396901898 | Desiree Dawn Moreland | Pharmacist | 825 Centennial Drive, Chadron, NE 69337 | 2008-08-04 |
| 1336360684 | Joan M. Yekel | Counselor | 651 West 4th Street, Chadron, NE 69337 | 2007-05-02 |
| 1003030065 | Sonja Lynne Dressel | Counselor | 301 West 2nd St, Chadron, NE 69337 | 2007-04-12 |
| 1689798308 | Rebecca Ann Brost | Counselor | 301 West 2nd Street, Chadron, NE 69337 | 2007-03-19 |
| 1679638472 | Teena Ionne Kenrick | Counselor | 318 Shelton St, Chaoron, NE 69337 | 2006-12-22 |
| 1861560666 | Margaret K Griffith | Counselor | 327 Ann St, Chadron, NE 69337 | 2006-12-01 |
| 1386715654 | Affinity Therapy Associates LLC | Counselor | 327 Ann Street, Chadron, NE 69337 | 2006-11-10 |
| 1093724650 | Apria Healthcare LLC | Durable Medical Equipment & Medical Supplies | 625 West 3rd Street, Chadron, NE 69337 | 2006-08-05 |
| 1174086995 | Kristavia Strotheide | Case Manager/Care Coordinator | 300 Shelton St, Chadron, NE 69337 | 2019-04-09 |
| Find all providers in zip 69337 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750998332 | Shyla Marie Pyzer | Case Manager/Care Coordinator | 300 Shelton St, Chadron, NE 69337-2312 | 2020-09-28 |
| 1881206415 | Emily Nicole Parker | Case Manager/Care Coordinator | 300 Shelton St, Chadron, NE 69337-2312 | 2020-08-17 |
| 1386256923 | Virginia Renee Spotted Thunder | Case Manager/Care Coordinator | 300 Shelton St, Chadron, NE 69337-2312 | 2020-08-17 |
| 1780213785 | Allison Omernik | Case Manager/Care Coordinator | 300 Shelton St, Chadron, NE 69337-2312 | 2020-04-02 |
| 1629616180 | Rebecca Anne Gallant | Case Manager/Care Coordinator | 300 Shelton St, Chadron, NE 69337-2312 | 2019-12-16 |
| 1922667401 | Rachel Ann Johnson | Case Manager/Care Coordinator | 300 Shelton St, Chadron, NE 69337-2312 | 2019-06-10 |
| 1174086995 | Kristavia Strotheide | Case Manager/Care Coordinator | 300 Shelton St, Chadron, NE 69337 | 2019-04-09 |
| 1770093072 | Amber Michelle Woodford | Case Manager/Care Coordinator | 300 Shelton St, Chadron, NE 69337-2312 | 2017-10-02 |
| 1902333099 | Adrianna Calle | Case Manager/Care Coordinator | 300 Shelton St, Chadron, NE 69337-2312 | 2017-05-19 |
| 1184151276 | Sara Renee Royle | Case Manager/Care Coordinator | 300 Shelton St, Chadron, NE 69337-2312 | 2017-05-19 |
| Find all providers in CHADRON | ||||
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| 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.