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MS. KIMBERLY LYNN TRACY CPNP
NPI 1366002743
Nurse Practitioner - Pediatrics in Troy, MO

Active since June 18, 2019PECOS Enrolled
1177 E CHERRY STREET, TROY, MO 63379(636) 528-3377(636) 528-3335 Get Directions Write a Review

NPPES record last updated: June 18, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 25, 2024, Apr 10, 2024, Aug 8, 2023 and 4 more (7 updates tracked since 2019).

About Ms. Kimberly Lynn Tracy Cpnp NPPES

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

MS. KIMBERLY LYNN TRACY CPNP (NPI 1366002743) is an individual pediatrics provider in Troy, Missouri, licensed in Missouri (2019018502) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366002743
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMS. KIMBERLY LYNN TRACYCredential: CPNP
Location Address1177 E CHERRY STREETTroy, MO 63379
Mailing Address1177 E Cherry StreetTroy, MO 63379 · (636) 528-3377 · Fax (636) 528-3335
Phone(636) 528-3377
Fax(636) 528-3335
Sole ProprietorNo
Enumeration DateJune 18, 2019
Last NPPES UpdateJune 18, 20267 updates tracked since enumeration
NPPES CertifiedJune 18, 2026
✔ NPI 1366002743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in MO · 2019018502
1177 E CHERRY STREET, Troy, MO 63379
Open in Google Maps ↗

Other Identifiers 1

Medicaid420078075MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cox HealthPlans.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Kimberly Lynn Tracy Cpnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63379 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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

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

JENNIFER G RAY MD
Pediatrics
1177 E CHERRY STREET
TROY, MO 63379
Lincoln County (636) 528-3377

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 Kimberly Tracy's NPI number?

The NPI number for Kimberly Tracy is 1366002743. It was assigned to this individual provider in the NPPES registry on June 18, 2019.

Where is Kimberly Tracy located?

Kimberly Tracy practices at 1177 E Cherry Street, Troy, MO 63379. The listed phone number is (636) 528-3377.

What is Kimberly Tracy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Kimberly Tracy enrolled in Medicare?

Yes. Kimberly Tracy is registered in the Medicare PECOS enrollment system.

What insurance does Kimberly Tracy accept?

Health plans from Cox HealthPlans list Kimberly Tracy 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 Kimberly Tracy was last updated on June 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.