TRACY RAY ASTLEFORD MSN PMHNP-BC
NPI 1285179671
Nurse Practitioner - Psychiatric/Mental Health in Spokane, WA

Active since December 21, 2016PECOS EnrolledAccepts Medicare Assignment
4815 N ASSEMBLY ST, SPOKANE, WA 99205(509) 434-7797 Get Directions Write a Review

NPPES record last updated: September 28, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 28, 2018, Oct 16, 2017, Dec 21, 2016 (3 updates tracked since 2016).

About Tracy Ray Astleford Msn Pmhnp-bc NPPES

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

TRACY RAY ASTLEFORD MSN PMHNP-BC (NPI 1285179671) is an individual psychiatric/mental health provider in Spokane, Washington, licensed in Washington (AP60792931) and active in the NPI registry since December 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Spokane, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1285179671
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameTRACY RAY ASTLEFORDCredential: MSN PMHNP-BC
Location Address4815 N ASSEMBLY STSpokane, WA 99205-6185
Mailing Address4815 N Assembly StSpokane, WA 99205-6185
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateDecember 21, 2016
Last NPPES UpdateSeptember 28, 20183 updates tracked since enumeration
✔ NPI 1285179671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in WA · AP60792931
Also ListedRegistered NurseTaxonomy 163W00000X · License RN 00162313 (WA)
4815 N ASSEMBLY ST, Spokane, WA 99205

Secondary Practice Location 1

Location 1107 S Division StSpokane, WA 99202-1510 · Phone (509) 838-4651 · Fax (509) 363-2762

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 Ray Astleford Msn Pmhnp-bc 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 ID5092051078
PECOS Enrollment IDI20190111001773
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 Astleford reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community/Behavioral Health
107 S DIVISION ST
Spokane, WA 99202
  • Reassigned Medicare billing, Washington enrollment
  • 136 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

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
55 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99205 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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 20

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

Clinical Nurse Specialist (Psychiatric/Mental Health)
4815 N ASSEMBLY ST
SPOKANE, WA 99205
Optometrist
4815 N ASSEMBLY ST
SPOKANE, WA 99205
Pharmacist (Pharmacotherapy)
4815 N ASSEMBLY ST
SPOKANE, WA 99205
Case Manager/Care Coordinator
4815 N ASSEMBLY ST
SPOKANE, WA 99205
Physical Medicine & Rehabilitation
4815 N ASSEMBLY ST
SPOKANE, WA 99205
Counselor (Addiction (Substance Use Disorder))
4815 N ASSEMBLY ST
SPOKANE, WA 99205
Psychologist (Clinical)
4815 N ASSEMBLY ST
SPOKANE, WA 99205
Physician Assistant (Medical)
4815 N ASSEMBLY ST
SPOKANE, WA 99205

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 Astleford's NPI number?

The NPI number for Tracy Astleford is 1285179671. It was assigned to this individual provider in the NPPES registry on December 21, 2016.

Where is Tracy Astleford located?

Tracy Astleford practices at 4815 N Assembly St, Spokane, WA 99205. The listed phone number is (509) 434-7797.

What is Tracy Astleford's specialty?

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

Is Tracy Astleford enrolled in Medicare?

Yes. Tracy Astleford 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 organization bills Medicare for Tracy Astleford's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tracy Astleford reassigns Medicare benefits to Frontier Behavioral Health (Spokane, WA). 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 Astleford'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 Astleford was last updated on September 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.