MS. KIMBERLY LYNN TRACY CPNP
NPI 1366002743
Nurse Practitioner - Pediatrics in Troy, MO
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
Specialties & Licenses
Other Identifiers 1
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)
Ms. Kimberly Lynn Tracy Cpnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
5Medicare enrollment records show Kimberly Tracy reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Troy, MO 63379
- Reassigned Medicare billing, Missouri enrollment
- 229 clinicians in this Medicare group
Ballwin, MO 63011
- Reassigned Medicare billing, Missouri enrollment
- Also billed through NPI 1164857397 (Missouri)
- 744 clinicians in this Medicare group
Saint Louis, MO 63115
- Reassigned Medicare billing, Missouri enrollment
- 4 clinicians in this Medicare group
Saint Louis, MO 63110
- Reassigned Medicare billing, Missouri enrollment
- 628 clinicians in this Medicare group
Saint Louis, MO 63110
- Reassigned Medicare billing, Missouri enrollment
- 95 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 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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
Which organizations bill Medicare for Kimberly Tracy's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Tracy reassigns Medicare benefits to 5 organizations: Mercy Hospital Lincoln (Troy, MO), Mercy Clinic East Communities (Ballwin, MO), Wuca-Nash Pediatrics, LLC (Saint Louis, MO), Washington University (Saint Louis, MO) and Shriners Hospitals For Children (Saint Louis, MO). 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 Kimberly Tracy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kimberly Tracy accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 2 other insurers 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 4 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.
# Ms. Kimberly Lynn Tracy, CPNP · NPI 1366002743
Pediatrics physician in Troy, Missouri. Individual provider, active in the CMS NPPES registry since June 18, 2019.
## Identity
- **NPI:** 1366002743 (Entity type: Individual)
- **Enumerated:** June 18, 2019
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** 2019018502 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 1177 E CHERRY STREET, Troy, MO 63379
- **Phone:** (636) 528-3377 · **Fax:** (636) 528-3335
## 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:** 5 organizations under Medicare reassignment (form CMS-855R): Mercy Hospital Lincoln (NPI 1316343494, Troy, MO); Mercy Clinic East Communities (NPI 1700370061, Ballwin, MO); Wuca-Nash Pediatrics, LLC (NPI 1164882775, Saint Louis, MO); Washington University (NPI 1194765685, Saint Louis, MO); Shriners Hospitals For Children (NPI 1275970295, Saint Louis, MO) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 18, 2026
- **Other identifiers:** Medicaid 420078075 (MO)
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Source: [NPI Profile](https://npiprofile.com/npi/1366002743) · Data from the CMS NPPES public registry.