TRACY L ROCKEFELLER CRNP
NPI 1346472057
Nurse Practitioner - Psychiatric/Mental Health in Lakeville, PA
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 a secondary practice location in Lake Ariel.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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 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.
Medicare Billing Reassignments
4Medicare enrollment records show Tracy Rockefeller reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lakeville, PA 18438
- Reassigned Medicare billing, Pennsylvania enrollment
- 5 clinicians in this Medicare group
Honesdale, PA 18431
- Reassigned Medicare billing, Pennsylvania enrollment
- 4,429 clinicians in this Medicare group
Moosic, PA 18507
- Reassigned Medicare billing, Pennsylvania enrollment
- 27 clinicians in this Medicare group
Lansdale, PA 19446
- Reassigned Medicare billing, Pennsylvania enrollment
- 9 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 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.
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, PAPhysician 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.
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.
LAKEVILLE, PA 18438
LAKEVILLE, PA 18438
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.
Which organizations bill Medicare for Tracy Rockefeller's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tracy Rockefeller reassigns Medicare benefits to 4 organizations: Arbor Vitae Behavioral Health, LLC (Lakeville, PA), Geisinger Clinic (Honesdale, PA), Glenmaura Holdings, LLC (Moosic, PA) and Joseph Dantonio MD PC (Lansdale, PA). 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 Rockefeller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 September 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 36 days 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 L Rockefeller, CRNP · NPI 1346472057
Psychiatric/Mental Health physician in Lakeville, Pennsylvania. Individual provider, active in the CMS NPPES registry since August 13, 2009.
## Identity
- **NPI:** 1346472057 (Entity type: Individual)
- **Enumerated:** August 13, 2009
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** SP010412 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 1258 PURDYTOWN TPKE, Lakeville, PA 18438-6793
- **Phone:** (570) 647-9277 · **Fax:** (570) 227-0084
## 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:** 4 organizations under Medicare reassignment (form CMS-855R): Arbor Vitae Behavioral Health, LLC (NPI 1790265692, Lakeville, PA); Geisinger Clinic (NPI 1720495393, Honesdale, PA); Glenmaura Holdings, LLC (NPI 1942914924, Moosic, PA); Joseph Dantonio MD PC (NPI 1770557548, Lansdale, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** September 28, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1346472057) · Data from the CMS NPPES public registry.