TRACY DAWN WEATHERLY APRN-C
NPI 1194574590
Nurse Practitioner - Family in Louisville, KY
About Tracy Dawn Weatherly Aprn-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TRACY DAWN WEATHERLY APRN-C (NPI 1194574590) is an individual family provider in Louisville, Kentucky, licensed in Kentucky (4018756) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Accepted 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 Dawn Weatherly Aprn-c 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.
Medicare Billing Reassignments
2Medicare enrollment records show Tracy Weatherly reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Louisville, KY 40220
- Reassigned Medicare billing, Kentucky enrollment
- 488 clinicians in this Medicare group
Dallas, TX 75244
- Reassigned Medicare billing, Kentucky enrollment
- 390 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 40205 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOUISVILLE, KY 40205
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 Weatherly's NPI number?
The NPI number for Tracy Weatherly is 1194574590. It was assigned to this individual provider in the NPPES registry on May 16, 2024.
Where is Tracy Weatherly located?
Tracy Weatherly practices at 2440 Bardstown Rd, Louisville, KY 40205. The listed phone number is (502) 632-0984.
What is Tracy Weatherly's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Tracy Weatherly enrolled in Medicare?
Yes. Tracy Weatherly 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 organizations bill Medicare for Tracy Weatherly's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tracy Weatherly reassigns Medicare benefits to 2 organizations: Kiosk Medicine Kentucky LLC (Louisville, KY) and Signify Health, LLC (Dallas, TX). Each 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 Weatherly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tracy Weatherly accept?
Health plans from CareSource and CareSource (Common Ground Healthcare) list Tracy Weatherly 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.
When was this NPI record last updated?
The NPPES record for Tracy Weatherly was last updated on May 16, 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.
# Tracy Dawn Weatherly, APRN-C · NPI 1194574590
Family physician in Louisville, Kentucky. Individual provider, active in the CMS NPPES registry since May 16, 2024.
## Identity
- **NPI:** 1194574590 (Entity type: Individual)
- **Enumerated:** May 16, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 4018756 (Kentucky)
- **Sole proprietor:** No
## Practice location
- **Address:** 2440 BARDSTOWN RD, Louisville, KY 40205-2123
- **Phone:** (502) 632-0984
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Kiosk Medicine Kentucky LLC (NPI 1205885035, Louisville, KY); Signify Health, LLC (NPI 1689158487, Dallas, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** May 16, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1194574590) · Data from the CMS NPPES public registry.