Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Q: 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.

Q: 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.

Q: When was this NPI record last updated?

The NPPES record for Tracy Iversen was last updated on October 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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.

Active since May 17, 2024PECOS EnrolledAccepts Medicare Assignment

724 E CARROLL ST, MACOMB, IL 61455(309) 249-0604(309) 233-8272 Get Directions Write a Review

NPPES record last updated: October 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 13, 2026, May 17, 2024 (2 updates tracked since 2024).

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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 Macomb, 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 Address724 E CARROLL STMacomb, IL 61455-2454

Mailing Address724 E Carroll StMacomb, IL 61455-2454 · (309) 249-0604 · Fax (309) 233-8272

Phone(309) 249-0604

Fax(309) 233-8272

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateMay 17, 2024

Last NPPES UpdateOctober 13, 20262 updates tracked since enumeration

NPPES CertifiedOctober 13, 2026

✔ 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

724 E CARROLL ST, Macomb, IL 61455

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignment

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

Graham Hospital Association

0.9 mi

Family Medicine

1630 E JACKSON ST
Macomb, IL 61455

Reassigned Medicare billing, Illinois enrollment
134 clinicians in this Medicare group

NPI 1780321117 (309) 647-0201

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

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 61455 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.

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 724 E Carroll St, Macomb, IL 61455. The listed phone number is (309) 249-0604.

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.

Which organization bills Medicare for Tracy Iversen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tracy Iversen reassigns Medicare benefits to Graham Hospital Association (Macomb, IL). 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 Iversen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tracy Iversen accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Tracy Iversen 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 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 October 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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.