TRACY BROCK (NPI# 1801364245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801364245 |
| Entity Type | Individual |
| Full Name | TRACY BROCK |
| Credential | FNP |
| Practice Address |
2727 Plaza Dr Wausau WI 54401-4129 |
| Practice Telephone | 7158473000 |
| Mailing Telephone | 7158473000 |
| Enumeration Date | 2018-11-04 |
| Last Update Date | 2018-11-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
8804-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528286432 | Tracy Gail Brock | Counselor | 1203 American Greeting Rd, Corbin, KY 40701-4811 | 2007-04-23 |
| Street Address |
2727 PLAZA DR |
| City | WAUSAU |
| State | WI |
| Zip Code | 54401-4129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033102546 | Naomi E Arenson | Psychiatry & Neurology | 2727 Plaza Dr, Wausau, WI 54401-4129 | 2005-08-30 |
| 1093332108 | Sara D'anne Smith | Registered Nurse | 2727 Plaza Dr, Wausau, WI 54401-4129 | 2020-07-06 |
| 1154982296 | Kelly M Jonas | Nurse Practitioner | 2727 Plaza Dr, Wausau, WI 54401-4129 | 2019-06-27 |
| 1639638174 | Michael J Darr | Nurse Practitioner | 2727 Plaza Dr, Wausau, WI 54401-4129 | 2019-03-14 |
| 1548742703 | Kayleigh Amanda Gospodarek | Physician Assistant | 2727 Plaza Dr, Wausau, WI 54401-4129 | 2018-09-04 |
| 1184135949 | Claudia Gineta Istrate | Internal Medicine | 2727 Plaza Dr, Wausau, WI 54401-4129 | 2017-10-19 |
| 1942733845 | Erin M. Kern | Nurse Practitioner | 2727 Plaza Dr, Wausau, WI 54401 | 2017-04-06 |
| 1790217503 | Sean Sarazen | Optometrist | 2727 Plaza Dr, Wausau, WI 54401-4129 | 2017-03-30 |
| 1548613581 | Diane Mary Alber | Nurse Practitioner | 2727 Plaza Dr, Wausau, WI 54401-4129 | 2016-07-14 |
| 1649649187 | Marshfield Clinic Inc | Clinic/Center | 2727 Plaza Dr, Wausau, WI 54401-4129 | 2015-09-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164031464 | Central Wisconsin Endodontic Specialists LLC | Dentist | 2606 Stewart Avenue, #102, Wausau, WI 54401 | 2020-07-23 |
| 1376161976 | Family Foot and Ankle Clinic LLC | Podiatrist | 1901 Westwood Boulevard, Wausau, WI 54401 | 2020-07-09 |
| 1336701895 | Amy Kluetz | Counselor | 3000 Westhill Drive, Suite 100, Wausau, WI 54401 | 2019-07-05 |
| 1437640877 | Joseph T Fitz | Student in an Organized Health Care Education/Training Program | Aspirus Wausau Family Medicine, 425 Wind Ridge Drive, Wausau, WI 54401 | 2018-05-22 |
| 1699293241 | Amanda Nedd | Dietitian, Registered | 425 Pine Ridge Boulevard Suite 220 C, Wausau, WI 54401 | 2017-09-05 |
| 1396287447 | Dee Cha | Nurse Anesthetist, Certified Registered | 4851 Rachel Ln Apt 5, Wausau, WI 54401 | 2016-11-07 |
| 1013389618 | Grace Lutheran Foundation Inc | Skilled Nursing Facility | 2727 Plaza Dr., Wausau, WI 54401 | 2015-10-22 |
| 1881091163 | Judy Lao | Dental Hygienist | 413 North 17th Avenue, Wausau, WI 54401 | 2014-12-02 |
| 1295012011 | Allison Waraksa | Pharmacist | 504 S. 17th Ave, Wausau, WI 54401 | 2011-11-08 |
| 1881974053 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 504 S 17th Ave, Wausau, WI 54401 | 2011-08-19 |
| Find all providers in zip 54401 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609371772 | Horizon Healthcare, Inc | Nurse Practitioner | 617 N 3rd Ave, Wausau, WI 54401-2908 | 2018-03-29 |
| 1801295571 | Jennifer Lynn Olson | Nurse Practitioner | 333 Pine Ridge Blvd Ste 317, Wausau, WI 54401-4102 | 2014-08-19 |
| 1609823509 | Barbara V Seiser | Nurse Practitioner | 1100 Lake View Dr, Wausau, WI 54403-6785 | 2006-05-27 |
| 1215558283 | Pamela A Warnke | Nurse Practitioner | 2720 Plaza Dr Ste 1100, Wausau, WI 54401-4169 | 2020-05-01 |
| 1265071088 | Jean M Volm | Nurse Practitioner | 225000 Hummingbird Rd, Suite 100, Wausau, WI 54401-6312 | 2019-12-26 |
| 1366085755 | Katie A Baumann | Nurse Practitioner | 400 Westwood Dr, Wausau, WI 54401-7801 | 2019-10-18 |
| 1639638174 | Michael J Darr | Nurse Practitioner | 2727 Plaza Dr, Wausau, WI 54401-4129 | 2019-03-14 |
| 1174013619 | Anna Katherine Wicklund | Nurse Practitioner | 2600 Rib Mountain Dr Ste 200, Wausau, WI 54401-7196 | 2018-05-10 |
| 1306335336 | Brianne C Sims | Nurse Practitioner | 5200 Hummingbird Rd, Suite 100, Wausau, WI 54401-6312 | 2018-05-04 |
| 1063912384 | Jolene Sara Josphine Finger | Nurse Practitioner | 333 Pine Ridge Blvd, Wausau, WI 54401-4102 | 2018-02-13 |
| Find all providers in WAUSAU | ||||
Please comment or provide details below to improve the information on TRACY BROCK.
| 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.