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TRACY L ROCKEFELLER CRNP
NPI 1346472057
Nurse Practitioner - Psychiatric/Mental Health in Lakeville, PA

Active since August 13, 2009PECOS EnrolledAccepts Medicare Assignment
1258 PURDYTOWN TPKE, LAKEVILLE, PA 18438(570) 647-9277(570) 227-0084 Get Directions Write a Review

NPPES record last updated: May 28, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 13, 2023, Sep 25, 2018 (2 updates tracked since 2018).

About Tracy L Rockefeller Crnp NPPES

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

TRACY L ROCKEFELLER CRNP (NPI 1346472057) is an individual psychiatric/mental health provider in Lakeville, Pennsylvania, licensed in Pennsylvania (SP010412) and active in the NPI registry since August 2009. She is enrolled in Medicare PECOS, is affiliated with Wayne Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1346472057
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameTRACY L ROCKEFELLERCredential: CRNP
Location Address1258 PURDYTOWN TPKELakeville, PA 18438-6793
Mailing Address1154 Beaver Lake DrLake Ariel, PA 18436-8013 · (267) 401-0669
Phone(570) 647-9277
Fax(570) 227-0084
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateAugust 13, 2009
Last NPPES UpdateMay 28, 20242 updates tracked since enumeration
NPPES CertifiedMay 28, 2024
✔ NPI 1346472057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in PA · SP010412
Also ListedPsychiatry & Neurology · Addiction PsychiatryTaxonomy 2084P0802X · License SP010412 (PA)
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License SP010412 (PA)
1258 PURDYTOWN TPKE, Lakeville, PA 18438
Open in Google Maps ↗

Secondary Practice Locations 2

Location 18 Church Street Medical Office Bldg 4th FloorWilkes Barre, PA 18765-9378 · Phone (570) 808-3100
Location 2615 W Main StLansdale, PA 19446-2011 · Phone (215) 938-2863

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tracy L Rockefeller Crnp 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 ID8729266325
PECOS Enrollment IDI20110630000366
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.

Areas of Expertise CMS Part B claims 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
23 services15 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wayne Memorial Hospital

Acute Care Hospitals · Honesdale, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390125
Location601 Park StreetHonesdale, PA 18431 · Wayne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18438 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

ZECHARIAH HOWARD MSN, CRNP
Nurse Practitioner (Psychiatric/Mental Health)
1258 PURDYTOWN TPKE
LAKEVILLE, PA 18438
Wayne County (570) 647-9277
POCONOS CENTER FOR PSYCHOLOGICAL SERVICES
Psychologist
1258 PURDYTOWN TPKE
LAKEVILLE, PA 18438
Wayne County (570) 226-1963
SUZANNE L GRIERSON
Social Worker (Clinical)
1258 PURDYTOWN TPKE, SUITE 2
LAKEVILLE, PA 18438
Wayne County (570) 226-4444
MRS. SUZANNE LEE GRIERSON LCSW
Social Worker
1258 PURDYTOWN TPKE, SUITE 2
LAKEVILLE, PA 18438
Wayne County (570) 226-4444
GREGORY MARC ACKERMAN LCSW
Social Worker (Clinical)
1258 PURDYTOWN TPKE
LAKEVILLE, PA 18438
Wayne County (570) 209-9569
DR. DARLENE KAY NALESNIK PHD
Psychologist
1258 PURDYTOWN TPKE
LAKEVILLE, PA 18438
Wayne County (570) 226-1963
MRS. MARY LYNN COLLINS P.T.
Physical Therapist
1258 PURDYTOWN TPKE
LAKEVILLE, PA 18438
Wayne County (570) 226-3321
DR. SANDRA LEE BURNS PHD
Psychologist
1258 PURDYTOWN TPKE
LAKEVILLE, PA 18438
Wayne County (570) 226-1963

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 Rockefeller's NPI number?

The NPI number for Tracy Rockefeller is 1346472057. It was assigned to this individual provider in the NPPES registry on August 13, 2009.

Where is Tracy Rockefeller located?

Tracy Rockefeller practices at 1258 Purdytown Tpke, Lakeville, PA 18438. The listed phone number is (570) 647-9277.

What is Tracy Rockefeller's specialty?

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

Is Tracy Rockefeller enrolled in Medicare?

Yes. Tracy Rockefeller 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.

Is Tracy Rockefeller affiliated with any hospitals?

According to CMS data, Tracy Rockefeller is affiliated with Wayne Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Tracy Rockefeller was last updated on May 28, 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.