TRACY ANN IVERSEN PMHNP
NPI 1063261345
Nurse Practitioner - Psychiatric/Mental Health in Canton, IL

Active since May 17, 2024PECOS EnrolledAccepts Medicare Assignment
210 W WALNUT ST, CANTON, IL 61520(309) 647-0201 Get Directions Write a Review

NPPES record last updated: May 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tracy Ann Iversen Pmhnp NPPES

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

TRACY ANN IVERSEN PMHNP (NPI 1063261345) is an individual psychiatric/mental health provider in Canton, Illinois, licensed in Illinois (209029712) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS, is affiliated with Graham Hospital Association, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1063261345
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameTRACY ANN IVERSENCredential: PMHNP
Location Address210 W WALNUT STCanton, IL 61520-2444
Mailing Address724 E Carroll StMacomb, IL 61455-2454 · (309) 313-4801
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMay 17, 2024
Last NPPES UpdateMay 20, 2024
NPPES CertifiedMay 20, 2024
NPI 1063261345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in IL · 209029712
210 W WALNUT ST, Canton, IL 61520

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

Tracy Ann Iversen Pmhnp 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 ID7214478684
PECOS Enrollment IDI20240925002609
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.

Graham Hospital Association

Acute Care Hospitals · Canton, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140001
Location210 West Walnut StreetCanton, IL 61520 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61520 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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 20

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

Nurse Anesthetist, Certified Registered
210 W WALNUT ST
CANTON, IL 61520
Nurse Anesthetist, Certified Registered
210 W WALNUT ST
CANTON, IL 61520
Nurse Anesthetist, Certified Registered
210 W WALNUT ST
CANTON, IL 61520
Skilled Nursing Facility
210 W WALNUT ST
CANTON, IL 61520
General Acute Care Hospital (Critical Access)
210 W WALNUT ST
CANTON, IL 61520
Physical Therapy Assistant
210 W WALNUT ST
CANTON, IL 61520
Occupational Therapist
210 W WALNUT ST
CANTON, IL 61520
Pathology (Anatomic Pathology & Clinical Pathology)
210 W WALNUT ST
CANTON, IL 61520

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 Iversen's NPI number?

The NPI number for Tracy Iversen is 1063261345. It was assigned to this individual provider in the NPPES registry on May 17, 2024.

Where is Tracy Iversen located?

Tracy Iversen practices at 210 W Walnut St, Canton, IL 61520. The listed phone number is (309) 647-0201.

What is Tracy Iversen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Tracy Iversen enrolled in Medicare?

Yes. Tracy Iversen 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.

Is Tracy Iversen affiliated with any hospitals?

According to CMS data, Tracy Iversen is affiliated with Graham Hospital Association.

When was this NPI record last updated?

The NPPES record for Tracy Iversen was last updated on May 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.