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MRS. TRACY RENEE PILGRIM APN
NPI 1033394804
Nurse Practitioner in Marked Tree, AR

Active since December 29, 2007PECOS Enrolled
105 NATHAN ST, MARKED TREE, AR 72365(870) 358-2036(870) 358-4116 Get Directions Write a Review

NPPES record last updated: March 16, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mrs. Tracy Renee Pilgrim Apn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. TRACY RENEE PILGRIM APN (NPI 1033394804) is an individual nurse practitioner in Marked Tree, Arkansas, licensed in Arkansas (A01248) and active in the NPI registry since December 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1993).

NPPES Registry Identity

NPI1033394804
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. TRACY RENEE PILGRIMCredential: APN
Location Address105 NATHAN STMarked Tree, AR 72365
Mailing Address49 Highway 62 412Ash Flat, AR 72513-9594 · (870) 358-2036 · Fax (870) 358-4116
Phone(870) 358-2036
Fax(870) 358-4116
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateDecember 29, 2007
Last NPPES UpdateMarch 16, 2016
✔ NPI 1033394804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in AR · A01248
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
105 NATHAN ST, Marked Tree, AR 72365
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Tracy Renee Pilgrim Apn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8921150848
PECOS Enrollment IDI20110207000627
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Tracy Pilgrim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Arkansas Department Of Health Payroll Office
121 mi
Public Health or Welfare
4815 W MARKHAM ST
Little Rock, AR 72205
  • Reassigned Medicare billing, Arkansas enrollment
  • 34 clinicians in this Medicare group
NPI 1619195906 (501) 280-4813

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72365 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CRITTENDEN HOSPITAL ASSOCIATION
Clinic/Center (Rural Health)
105 NATHAN ST
MARKED TREE, AR 72365
Poinsett County (870) 358-2036

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tracy Pilgrim's NPI number?

The NPI number for Tracy Pilgrim is 1033394804. It was assigned to this individual provider in the NPPES registry on December 29, 2007.

Where is Tracy Pilgrim located?

Tracy Pilgrim practices at 105 Nathan St, Marked Tree, AR 72365. The listed phone number is (870) 358-2036.

What is Tracy Pilgrim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Tracy Pilgrim enrolled in Medicare?

Yes. Tracy Pilgrim is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tracy Pilgrim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tracy Pilgrim reassigns Medicare benefits to Arkansas Department Of Health Payroll Office (Little Rock, AR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tracy Pilgrim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tracy Pilgrim accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Tracy Pilgrim as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tracy Pilgrim was last updated on March 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.