1. Home
  2. Directory
  3. Texas
  4. San Antonio
  5. Advanced Practice Midwife
  6. NPI Profile

TRACIE DIANE LEVERIDGE
NPI 1053980565
Advanced Practice Midwife in San Antonio, TX

Active since June 19, 2021PECOS EnrolledAccepts Medicare Assignment
5616 LONE STAR PKWY, SAN ANTONIO, TX 78253(210) 281-5066 Get Directions Write a Review

NPPES record last updated: June 19, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tracie Diane Leveridge NPPES

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

TRACIE DIANE LEVERIDGE (NPI 1053980565) is an individual advanced practice midwife in San Antonio, Texas, licensed in Texas (1030791) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, is affiliated with Peterson Regional Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1053980565
Entity TypeIndividualFemale
Primary Taxonomy367A00000X
Provider Legal NameTRACIE DIANE LEVERIDGE
Location Address5616 LONE STAR PKWYSan Antonio, TX 78253-2200
Mailing Address1 Saint Robby CtMansfield, TX 76063-7637 · (817) 269-8289
Phone(210) 281-5066
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 19, 2021
NPPES CertifiedJune 19, 2021
✔ NPI 1053980565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367A00000X
License✔ Licensed in TX · 1030791
Definition
Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.
5616 LONE STAR PKWY, San Antonio, TX 78253
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, UnitedHealthcare, WellPoint.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tracie Diane Leveridge is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1456755032
PECOS Enrollment IDI20210804000145
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Peterson Regional Medical Center

Acute Care Hospitals · Kerrville, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450007
Location551 Hill Country DriveKerrville, TX 78028 · Kerr County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78253 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
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 2

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

COURTNEY STORM
Behavior Analyst
5616 LONE STAR PKWY
SAN ANTONIO, TX 78253
Bexar County (210) 202-4800
ALEXUS GRACE CISNEROS
Behavior Analyst
5616 LONE STAR PKWY
SAN ANTONIO, TX 78253
Bexar County (210) 202-4800

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 Tracie Leveridge's NPI number?

The NPI number for Tracie Leveridge is 1053980565. It was assigned to this individual provider in the NPPES registry on June 19, 2021.

Where is Tracie Leveridge located?

Tracie Leveridge practices at 5616 Lone Star Pkwy, San Antonio, TX 78253. The listed phone number is (210) 281-5066.

What is Tracie Leveridge's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Is Tracie Leveridge enrolled in Medicare?

Yes. Tracie Leveridge is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Tracie Leveridge accept?

Health plans from Blue Cross and Blue Shield of Texas, UnitedHealthcare and WellPoint list Tracie Leveridge 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.

Is Tracie Leveridge affiliated with any hospitals?

According to CMS data, Tracie Leveridge is affiliated with Peterson Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Tracie Leveridge was last updated on June 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.