MARY TRACEY
NPI 1134515984
Nurse Practitioner - Psychiatric/Mental Health in Pagosa Springs, CO

Active since April 08, 2015PECOS EnrolledAccepts Medicare Assignment
52 VILLAGE DR, PAGOSA SPRINGS, CO 81147(970) 264-2104(970) 264-2108 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 17, 2018, Aug 16, 2017 (2 updates tracked since 2017).

About Mary Tracey NPPES

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

MARY TRACEY (NPI 1134515984) is an individual psychiatric/mental health provider in Pagosa Springs, Colorado, licensed in Colorado (APN.0993060-NP) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Alamosa, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1134515984
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMARY TRACEY
Location Address52 VILLAGE DRPagosa Springs, CO 81147-8368
Mailing Address8745 County Road 9 SAlamosa, CO 81101-9610
Fax(970) 264-2108
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateApril 8, 2015
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
NPI 1134515984 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 CO · APN.0993060-NP
52 VILLAGE DR, Pagosa Springs, CO 81147

Secondary Practice Location 1

Location 18745 County Road 9 SAlamosa, CO 81101-9610 · Phone (719) 589-3671

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

Mary Tracey 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 ID1052674538
PECOS Enrollment IDI20180416000931
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
41 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81147 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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 16

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

Social Worker (Clinical)
52 VILLAGE DR
PAGOSA SPRINGS, CO 81147
Counselor (Addiction (Substance Use Disorder))
52 VILLAGE DR
PAGOSA SPRINGS, CO 81147
Dentist (General Practice)
52 VILLAGE DR
PAGOSA SPRINGS, CO 81147
Social Worker (Clinical)
52 VILLAGE DR
PAGOSA SPRINGS, CO 81147
Counselor (Professional)
52 VILLAGE DR
PAGOSA SPRINGS, CO 81147
Pharmacy (Community/Retail Pharmacy)
52 VILLAGE DR
PAGOSA SPRINGS, CO 81147
Psychiatry & Neurology (Psychiatry)
52 VILLAGE DR
PAGOSA SPRINGS, CO 81147
Counselor (Professional)
52 VILLAGE DR
PAGOSA SPRINGS, CO 81147

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 Mary Tracey's NPI number?

The NPI number for Mary Tracey is 1134515984. It was assigned to this individual provider in the NPPES registry on April 8, 2015.

Where is Mary Tracey located?

Mary Tracey practices at 52 Village Dr, Pagosa Springs, CO 81147. The listed phone number is (970) 264-2104.

What is Mary Tracey's specialty?

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

Is Mary Tracey enrolled in Medicare?

Yes. Mary Tracey 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.

When was this NPI record last updated?

The NPPES record for Mary Tracey was last updated on March 17, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.