TRACEY NUTTER
NPI 1215568076
Nurse Practitioner - Acute Care in Fort Collins, CO
About Tracey Nutter NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TRACEY NUTTER (NPI 1215568076) is an individual acute care provider in Fort Collins, Colorado, licensed in Colorado (APN.0998714-NP) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses 2
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
Tracey Nutter 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 Tracey Nutter reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
El Cajon, CA 92021
- Reassigned Medicare billing, Texas enrollment
- 18 clinicians in this Medicare group
Tacoma, WA 98421
- Reassigned Medicare billing, Texas enrollment
- 17 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 80525 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FORT COLLINS, CO 80525
FORT COLLINS, CO 80525
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 Nutter's NPI number?
The NPI number for Tracey Nutter is 1215568076. It was assigned to this individual provider in the NPPES registry on January 30, 2020.
Where is Tracey Nutter located?
Tracey Nutter practices at 4856 Innovation Dr, Fort Collins, CO 80525. The listed phone number is (970) 494-4200.
What is Tracey Nutter's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Tracey Nutter enrolled in Medicare?
Yes. Tracey Nutter 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 Tracey Nutter's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tracey Nutter reassigns Medicare benefits to 2 organizations: Revive Pathway (El Cajon, CA) and Puyallup Tribal Opioid Clinic, Inc. (Tacoma, WA). 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 Tracey Nutter'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 Tracey Nutter was last updated on July 24, 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.
# Tracey Nutter · NPI 1215568076
Acute Care physician in Fort Collins, Colorado. Individual provider, active in the CMS NPPES registry since January 30, 2020.
## Identity
- **NPI:** 1215568076 (Entity type: Individual)
- **Enumerated:** January 30, 2020
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** APN.0998714-NP (Colorado)
- **Sole proprietor:** No
## Practice location
- **Address:** 4856 INNOVATION DR, Fort Collins, CO 80525-5539
- **Phone:** (970) 494-4200 · **Fax:** (970) 613-4475
## 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): Revive Pathway (NPI 1962117440, El Cajon, CA); Puyallup Tribal Opioid Clinic, Inc. (NPI 1992582613, Tacoma, WA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** July 24, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1215568076) · Data from the CMS NPPES public registry.