TRACEY JOANNE FENDER P.N.P.
NPI 1275729832
Nurse Practitioner - Pediatrics in Tuba City, AZ
About Tracey Joanne Fender P.n.p. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TRACEY JOANNE FENDER P.N.P. (NPI 1275729832) is an individual pediatrics provider in Tuba City, Arizona, licensed in Arizona (AP2858) and active in the NPI registry since September 2007. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tracey Joanne Fender P.n.p. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Tracey Fender reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Tuba City, AZ 86045
- Reassigned Medicare billing, Texas enrollment
- 540 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 86045 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.
TUBA CITY, AZ 86045
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 Fender's NPI number?
The NPI number for Tracey Fender is 1275729832. It was assigned to this individual provider in the NPPES registry on September 18, 2007.
Where is Tracey Fender located?
Tracey Fender practices at 167 North Main St., Tuba City, AZ 86045. The listed phone number is (928) 283-2679.
What is Tracey Fender's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Tracey Fender enrolled in Medicare?
Yes. Tracey Fender is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Tracey Fender's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tracey Fender reassigns Medicare benefits to Tuba City Regional Health Care Corporation (Tuba City, AZ). 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 Tracey Fender's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tracey Fender accept?
Health plans from Blue Cross Blue Shield of Arizona list Tracey Fender 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 Tracey Fender was last updated on May 16, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 Joanne Fender, P.N.P. · NPI 1275729832
Pediatrics physician in Tuba City, Arizona. Individual provider, active in the CMS NPPES registry since September 18, 2007.
## Identity
- **NPI:** 1275729832 (Entity type: Individual)
- **Enumerated:** September 18, 2007
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** AP2858 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 167 NORTH MAIN ST., Tuba City, AZ 86045
- **Phone:** (928) 283-2679
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Tuba City Regional Health Care Corporation (NPI 1548294424, Tuba City, AZ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 16, 2013
- **Other identifiers:** Other RN2271333 (MA); Other 064991-23 (NH); Other AP2858 (AZ)
---
Source: [NPI Profile](https://npiprofile.com/npi/1275729832) · Data from the CMS NPPES public registry.