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TRACY LORENE BURRIS FNP
NPI 1184928012
Nurse Practitioner - Family in Ukiah, CA

Active since January 06, 2011PECOS Enrolled
260 HOSPITAL DR STE 209, UKIAH, CA 95482(707) 463-8000(707) 462-1111 Get Directions Write a Review

NPPES record last updated: January 6, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Tracy Lorene Burris Fnp NPPES

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

TRACY LORENE BURRIS FNP (NPI 1184928012) is an individual family provider in Ukiah, California, licensed in California (19885) and active in the NPI registry since January 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184928012
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTRACY LORENE BURRISCredential: FNP
Location Address260 HOSPITAL DR STE 209Ukiah, CA 95482-4533
Mailing Address260 Hospital Dr Ste 209Ukiah, CA 95482-4533 · (707) 463-8000 · Fax (707) 462-1111
Phone(707) 463-8000
Fax(707) 462-1111
Sole ProprietorNo
Enumeration DateJanuary 6, 2011
✔ NPI 1184928012 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
License✔ Licensed in CA · 19885
260 HOSPITAL DR STE 209, Ukiah, CA 95482
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tracy Lorene Burris Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Burris reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Providence Medical Foundation
56 mi
Internal Medicine
500 DOYLE PARK DR, SUITE 303
Santa Rosa, CA 95405
  • Reassigned Medicare billing, California enrollment
  • 1,699 clinicians in this Medicare group
NPI 1740584473 (707) 303-8300

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95482 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

MRS. FRANCES ANN LAUGHTON FNP
Nurse Practitioner (Family)
260 HOSPITAL DR STE 209
UKIAH, CA 95482
Mendocino County (707) 463-8000
JEREMY MALIN NP
Nurse Practitioner (Family)
260 HOSPITAL DR STE 209
UKIAH, CA 95482
Mendocino County (707) 463-7488
HOLLY MARIE ASTIN MD
Family Medicine
260 HOSPITAL DR STE 209
UKIAH, CA 95482
Mendocino County (707) 463-7483
MS. ADRIENNE ELIZABETH CARFI-ZAVALA FNP
Nurse Practitioner (Family)
260 HOSPITAL DR STE 209
UKIAH, CA 95482
Mendocino County (707) 463-7483
APHRAEL GENEVIEVE DUNSTON FNP, RN
Nurse Practitioner (Family)
260 HOSPITAL DR STE 209
UKIAH, CA 95482
Mendocino County (707) 463-7487
LUKE CHANG-DAE KANG MD
Family Medicine
260 HOSPITAL DR STE 209
UKIAH, CA 95482
Mendocino County (707) 463-7483

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 Burris's NPI number?

The NPI number for Tracy Burris is 1184928012. It was assigned to this individual provider in the NPPES registry on January 6, 2011.

Where is Tracy Burris located?

Tracy Burris practices at 260 Hospital Dr Ste 209, Ukiah, CA 95482. The listed phone number is (707) 463-8000.

What is Tracy Burris's specialty?

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

Is Tracy Burris enrolled in Medicare?

Yes. Tracy Burris is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tracy Burris's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tracy Burris reassigns Medicare benefits to Providence Medical Foundation (Santa Rosa, CA). 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 Burris's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tracy Burris was last updated on January 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.