TRACEY LYNN BRUNER FNP
NPI 1093319006
Nurse Practitioner - Family in Kilgore, TX

Active since November 30, 2020PECOS EnrolledAccepts Medicare Assignment
1600 S HENDERSON BLVD, KILGORE, TX 75662(903) 475-3474(903) 367-0300 Get Directions Write a Review

NPPES record last updated: October 14, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tracey Lynn Bruner Fnp NPPES

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

TRACEY LYNN BRUNER FNP (NPI 1093319006) is an individual family provider in Kilgore, Texas, licensed in Texas (1015649) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS, is affiliated with Chi St Joseph Health Regional Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1093319006
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTRACEY LYNN BRUNERCredential: FNP
Location Address1600 S HENDERSON BLVDKilgore, TX 75662-3518
Mailing Address1600 S Henderson BlvdKilgore, TX 75662-3518 · (903) 475-3474 · Fax (903) 367-0300
Fax(903) 367-0300
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateNovember 30, 2020
Last NPPES UpdateOctober 14, 2024
NPPES CertifiedOctober 14, 2024
NPI 1093319006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in TX · 1015649 Licensed in TX · 1093319006
1600 S HENDERSON BLVD, Kilgore, TX 75662

Secondary Practice Locations 2

Location 1307 Live Oak StMarlin, TX 76661-2365 · Phone (254) 803-3561 · Fax (254) 883-6066
Location 2312 N StallworthRosebud, TX 76570-2254 · Phone (254) 583-4515 · Fax (254) 583-4516

Accepted 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

Tracey Lynn Bruner Fnp 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 ID6507391778
PECOS Enrollment IDI20241125002157
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 2

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

Chi St Joseph Health Regional Hospital

Acute Care Hospitals · Bryan, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450011
Location2801 Franciscan DrBryan, TX 77802 · Brazos County
Emergency services Birthing friendly

White Rock Medical Center

Acute Care Hospitals · Dallas, TX
1/5 CMS rating
OwnershipProprietary
CMS Certification Number450678
Location9440 Poppy DriveDallas, TX 75218 · Dallas County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75662 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
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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 6

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

Nurse Practitioner (Family)
1600 S HENDERSON BLVD
KILGORE, TX 75662
Nurse Practitioner
1600 S HENDERSON BLVD
KILGORE, TX 75662
Nurse Practitioner (Family)
1600 S HENDERSON BLVD
KILGORE, TX 75662
Nurse Practitioner (Family)
1600 S HENDERSON BLVD
KILGORE, TX 75662
Nurse Practitioner (Family)
1600 S HENDERSON BLVD
KILGORE, TX 75662
Nurse Practitioner (Family)
1600 S HENDERSON BLVD
KILGORE, TX 75662

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 Tracey Bruner's NPI number?

The NPI number for Tracey Bruner is 1093319006. It was assigned to this individual provider in the NPPES registry on November 30, 2020.

Where is Tracey Bruner located?

Tracey Bruner practices at 1600 S Henderson Blvd, Kilgore, TX 75662. The listed phone number is (903) 475-3474.

What is Tracey Bruner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Tracey Bruner enrolled in Medicare?

Yes. Tracey Bruner 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 Tracey Bruner accept?

Health plans from Blue Cross and Blue Shield of Texas and UnitedHealthcare list Tracey Bruner 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 Tracey Bruner affiliated with any hospitals?

According to CMS data, Tracey Bruner is affiliated with Chi St Joseph Health Regional Hospital and White Rock Medical Center.

When was this NPI record last updated?

The NPPES record for Tracey Bruner was last updated on October 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.